MIRANDA GORDON FNP
NPI 1689560765
Nurse Practitioner in Malone, NY
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, is affiliated with The University Of Vermont Health Network-alice Hy, and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Miranda Gordon Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
The University Of Vermont Health Network-Alice Hy
Critical Access Hospitals · Malone, NYPhysician 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.
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.
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.
Is Miranda Gordon affiliated with any hospitals?
According to CMS data, Miranda Gordon is affiliated with The University Of Vermont Health Network-Alice Hy.
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 12 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.
# Miranda Gordon, FNP · NPI 1689560765
Nurse Practitioner physician in Malone, New York. Individual provider, active in the CMS NPPES registry since June 16, 2025.
## Identity
- **NPI:** 1689560765 (Entity type: Individual)
- **Enumerated:** June 16, 2025
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 357152 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 134 PARK ST, Malone, NY 12953-1259
- **Phone:** (518) 483-3000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** August 18, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1689560765) · Data from the CMS NPPES public registry.