MIRANDA GORDON FNP
NPI 1689560765
Nurse Practitioner in Malone, NY

Q: What is Miranda Gordon's NPI number?

The NPI number for Miranda Gordon is 1689560765. It was assigned to this individual provider in the NPPES registry on June 16, 2025.

Q: What is Miranda Gordon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Miranda Gordon was last updated on August 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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 June 16, 2025PECOS Enrolled

134 PARK ST, MALONE, NY 12953(518) 483-3000 Get Directions Write a Review

NPPES record last updated: August 18, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Miranda Gordon Fnp NPPES

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

MIRANDA GORDON FNP (NPI 1689560765) is an individual nurse practitioner in Malone, New York, licensed in New York (357152) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689560765

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMIRANDA GORDONCredential: FNP

Location Address134 PARK STMalone, NY 12953-1259

Mailing Address2039 State Route 3Cadyville, NY 12918-2807 · (518) 521-4698

Phone(518) 483-3000

Sole ProprietorNo

Enumeration DateJune 16, 2025

Last NPPES UpdateAugust 18, 2025

NPPES CertifiedAugust 18, 2025

✔ NPI 1689560765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in NY · 357152

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedRegistered NurseTaxonomy 163W00000X · License 770817 (NY)

134 PARK ST, Malone, NY 12953

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miranda Gordon Fnp 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.

Medicare Billing Reassignment

Medicare enrollment records show Miranda Gordon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Alice Hyde Medical Center

Same address

Critical Access

133 PARK ST
Malone, NY 12953

Reassigned Medicare billing, New York enrollment
326 clinicians in this Medicare group

NPI 1114954682 (518) 481-2210

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12953 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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 7

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

COSIMO JOHN FERRARI MD

Specialist

134 PARK ST
MALONE, NY 12953

Franklin County (518) 483-2578

RONALD JADUS DDS

Dentist (General Practice)

134 PARK ST, ALICE HYDE DENTAL CLINIC
MALONE, NY 12953

Franklin County (518) 481-2347

DR. PAUL JOSEPH KULLMAN

Dentist (General Practice)

134 PARK ST
MALONE, NY 12953

Franklin County (518) 481-2347

MRS. JUDITH ANN JOHNSON R.D.H.

Dental Hygienist

134 PARK ST
MALONE, NY 12953

Franklin County (518) 481-2347

DUYEN HAU NGUYEN

Dentist (Dental Public Health)

134 PARK ST
MALONE, NY 12953

Franklin County (518) 481-2347

MRS. CHRIS ANN STEELE APRN-CNP

Nurse Practitioner (Family)

134 PARK ST
MALONE, NY 12953

Franklin County (518) 481-2800

WILHELMINA MARIE SHERIDAN FNP

Nurse Practitioner (Family)

134 PARK ST
MALONE, NY 12953

Franklin County (518) 481-2800

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 Miranda Gordon's NPI number?

The NPI number for Miranda Gordon is 1689560765. It was assigned to this individual provider in the NPPES registry on June 16, 2025.

Where is Miranda Gordon located?

Miranda Gordon practices at 134 Park St, Malone, NY 12953. The listed phone number is (518) 483-3000.

What is Miranda Gordon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Miranda Gordon enrolled in Medicare?

Yes. Miranda Gordon is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Miranda Gordon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Miranda Gordon reassigns Medicare benefits to Alice Hyde Medical Center (Malone, NY). The 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 Miranda Gordon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Miranda Gordon was last updated on August 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.