MR. ODELL DELROY GORDON NP
NPI 1659784809
Nurse Practitioner - Family in Kingston, NY
About Mr. Odell Delroy Gordon Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. ODELL DELROY GORDON NP (NPI 1659784809) is an individual family provider in Kingston, New York, licensed in New Jersey (26NJ14923500) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with Trinitas Regional Medical Center, and maintains a secondary practice location in Elizabeth.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Odell Delroy Gordon Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
9Medicare enrollment records show Odell Gordon reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Ellenville, NY 12428
- Reassigned Medicare billing, New York enrollment
- 11 clinicians in this Medicare group
Middletown, NY 10940
- Reassigned Medicare billing, New York enrollment
- 77 clinicians in this Medicare group
Harris, NY 12742
- Reassigned Medicare billing, New York enrollment
- 75 clinicians in this Medicare group
Livingston, NJ 07039
- Reassigned Medicare billing, New Jersey enrollment
- 1,913 clinicians in this Medicare group
Binghamton, NY 13905
- Reassigned Medicare billing, New York enrollment
- 528 clinicians in this Medicare group
Somerset, NJ 08873
- Reassigned Medicare billing, New Jersey enrollment
- 1,557 clinicians in this Medicare group
Liverpool, NY 13090
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Wellnow Urgent Care, P.C.
- 511 clinicians in this Medicare group
Hornell, NY 14843
- Reassigned Medicare billing, New York enrollment
- 436 clinicians in this Medicare group
Buffalo, NY 14215
- Reassigned Medicare billing, New York enrollment
- 194 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Trinitas Regional Medical Center
Acute Care Hospitals · Elizabeth, NJPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 12401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
KINGSTON, NY 12401
KINGSTON, NY 12401
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Odell Gordon's NPI number?
The NPI number for Odell Gordon is 1659784809. It was assigned to this individual provider in the NPPES registry on June 5, 2014.
Where is Odell Gordon located?
Odell Gordon practices at 40 Hurley Ave Suite 4, Kingston, NY 12401. The listed phone number is (845) 338-5600.
What is Odell Gordon's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Odell Gordon enrolled in Medicare?
Yes. Odell Gordon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Odell Gordon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Odell Gordon reassigns Medicare benefits to 9 organizations: Ellenville Emergency Medical Associates PLLC (Ellenville, NY), Orange Emergency Services PC (Middletown, NY), Sullivan Emergency Services PC (Harris, NY), Rwjbh Observation Associates LLC (Livingston, NJ), United Medical Associates PC (Binghamton, NY) and 4 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Odell Gordon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Odell Gordon accept?
Health plans from Oscar Health list Odell Gordon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Odell Gordon affiliated with any hospitals?
According to CMS data, Odell Gordon is affiliated with Trinitas Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Odell Gordon was last updated on May 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mr. Odell Delroy Gordon, NP · NPI 1659784809
Family physician in Kingston, New York. Individual provider, active in the CMS NPPES registry since June 5, 2014.
## Identity
- **NPI:** 1659784809 (Entity type: Individual)
- **Enumerated:** June 5, 2014
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 26NJ14923500 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 40 HURLEY AVE, SUITE 4, Kingston, NY 12401-3739
- **Phone:** (845) 338-5600 · **Fax:** (845) 338-3058
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 9 organizations under Medicare reassignment (form CMS-855R): Ellenville Emergency Medical Associates PLLC (NPI 1477945905, Ellenville, NY); Orange Emergency Services PC (NPI 1043589682, Middletown, NY); Sullivan Emergency Services PC (NPI 1528338480, Harris, NY); Rwjbh Observation Associates LLC (NPI 1760095806, Livingston, NJ); United Medical Associates PC (NPI 1013972801, Binghamton, NY); and 4 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** May 16, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1659784809) · Data from the CMS NPPES public registry.