ALYSSA GORDON DNP, FNP-BC, CNL
NPI 1679247993
Nurse Practitioner - Family in Chicago, IL

Q: What is Alyssa Gordon's NPI number?

The NPI number for Alyssa Gordon is 1679247993. It was assigned to this individual provider in the NPPES registry on August 2, 2021.

Q: What is Alyssa Gordon's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Alyssa Gordon was last updated on August 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since August 02, 2021PECOS EnrolledAccepts Medicare Assignment

310 W CHICAGO AVE, CHICAGO, IL 60654(453) 530-2725 Get Directions Write a Review

NPPES record last updated: August 2, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Alyssa Gordon Dnp, Fnp-bc, Cnl NPPES

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

ALYSSA GORDON DNP, FNP-BC, CNL (NPI 1679247993) is an individual family provider in Chicago, Illinois, licensed in Illinois (209019777) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1679247993

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameALYSSA GORDONCredential: DNP, FNP-BC, CNL

Location Address310 W CHICAGO AVEChicago, IL 60654-5106

Mailing Address1437 W Grand Ave Apt 1sChicago, IL 60642-6318 · (847) 650-7235

Phone(453) 530-2725

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateAugust 2, 2021

NPPES CertifiedAugust 2, 2021

✔ NPI 1679247993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IL · 209019777

310 W CHICAGO AVE, Chicago, IL 60654

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alyssa Gordon Dnp, Fnp-bc, Cnl 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.

PECOS PAC ID9436689031

PECOS Enrollment IDI20250212001433

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 60654 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

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 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FAMILY GUIDANCE CENTERS, INC.

Clinic/Center (Mental Health (Including Community Mental Health Center))