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DR. LISA MICHELLE GORDON-GREEN APRN- BC
NPI 1659980670
Nurse Practitioner - Family in West Haven, CT

Active since July 27, 2020PECOS Enrolled
950 CAMPBELL AVE, WEST HAVEN, CT 06516(203) 932-5711 Get Directions Write a Review

NPPES record last updated: December 27, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 26, 2021, Jul 27, 2020 (2 updates tracked since 2020).

About Dr. Lisa Michelle Gordon-green Aprn- Bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LISA MICHELLE GORDON-GREEN APRN- BC (NPI 1659980670) is an individual family provider in West Haven, Connecticut, licensed in Connecticut (12.009813) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Waterbury.

NPPES Registry Identity

NPI1659980670
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDR. LISA MICHELLE GORDON-GREENCredential: APRN- BC
Location Address950 CAMPBELL AVEWest Haven, CT 06516-2770
Mailing Address168 Columbia BlvdWaterbury, CT 06710-1707 · (914) 447-5580
Phone(203) 932-5711
Sole ProprietorYes
Enumeration DateJuly 27, 2020
Last NPPES UpdateDecember 27, 20232 updates tracked since enumeration
NPPES CertifiedDecember 27, 2023
✔ NPI 1659980670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in CT · 12.009813✔ Licensed in NY · 349633
Also ListedRegistered NurseTaxonomy 163W00000X · License 79074 (CT), 503718 (NY)
950 CAMPBELL AVE, West Haven, CT 06516
Open in Google Maps ↗

Secondary Practice Location 1

Location 1168 Columbia BlvdWaterbury, CT 06710-1707 · Phone (914) 447-5580

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Lisa Michelle Gordon-green Aprn- Bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06516 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

LESLIE TANQUILUT PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
950 CAMPBELL AVE, PHARMACY SERVICE (119)
WEST HAVEN, CT 06516
South Central Connecticut Planning Region (203) 932-5711
NICHOLAS ANDREW VISSICCHIO PH.D.
Psychologist (Clinical)
950 CAMPBELL AVE
WEST HAVEN, CT 06516
South Central Connecticut Planning Region (203) 932-5711
DEVON MACKAY LMSW
Social Worker
950 CAMPBELL AVE
WEST HAVEN, CT 06516
South Central Connecticut Planning Region (203) 932-5711
MR. JAMES MICHAEL ALEKSUNES
Counselor
950 CAMPBELL AVE, MS 122V
WEST HAVEN, CT 06516
South Central Connecticut Planning Region (203) 932-5711
MRS. TRACEY PASCARELLA RD
Dietitian, Registered
950 CAMPBELL AVE
WEST HAVEN, CT 06516
South Central Connecticut Planning Region (203) 932-5711
DR. ANTHONY JAMES LISI D.C.
Chiropractor
950 CAMPBELL AVE, BUILDING 2, FLOOR 4
WEST HAVEN, CT 06516
South Central Connecticut Planning Region (203) 932-5711
MS. EVANGELINE BENOIT
Nurse Anesthetist, Certified Registered
950 CAMPBELL AVE
WEST HAVEN, CT 06516
South Central Connecticut Planning Region (203) 932-5711
MS. MELISSA ANN SIMONE LCSW
Social Worker (Clinical)
950 CAMPBELL AVE
WEST HAVEN, CT 06516
South Central Connecticut Planning Region (860) 694-4875

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 Lisa Gordon-green's NPI number?

The NPI number for Lisa Gordon-green is 1659980670. It was assigned to this individual provider in the NPPES registry on July 27, 2020.

Where is Lisa Gordon-green located?

Lisa Gordon-green practices at 950 Campbell Ave, West Haven, CT 06516. The listed phone number is (203) 932-5711.

What is Lisa Gordon-green's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Lisa Gordon-green enrolled in Medicare?

Yes. Lisa Gordon-green is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lisa Gordon-green was last updated on December 27, 2023. 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.