PATRINA GORDON FNP
NPI 1699096396
Nurse Practitioner - Family in Fort Meade, MD
About Patrina Gordon Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PATRINA GORDON FNP (NPI 1699096396) is an individual family provider in Fort Meade, Maryland, licensed in Maryland (R169735) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS and maintains a secondary practice location in Crofton.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Patrina Gordon Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Patrina Gordon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Odenton, MD 21113
- Reassigned Medicare billing, Maryland and District of Columbia enrollments
- Also billed through NPI 1255359972 (District of Columbia), NPI 1124629837 (Maryland)
- 952 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 20755 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.
FORT GEORGE G MEADE, MD 20755
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 Patrina Gordon's NPI number?
The NPI number for Patrina Gordon is 1699096396. It was assigned to this individual provider in the NPPES registry on June 16, 2010.
Where is Patrina Gordon located?
Patrina Gordon practices at 2480 Llewellyn Ave, Fort Meade, MD 20755. The listed phone number is (301) 677-8800.
What is Patrina Gordon's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Patrina Gordon enrolled in Medicare?
Yes. Patrina Gordon is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Patrina Gordon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Patrina Gordon reassigns Medicare benefits to Johns Hopkins Community Physicians, Inc (Odenton, MD). 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 Patrina 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 Patrina Gordon was last updated on March 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Patrina Gordon, FNP · NPI 1699096396
Family physician in Fort Meade, Maryland. Individual provider, active in the CMS NPPES registry since June 16, 2010.
## Identity
- **NPI:** 1699096396 (Entity type: Individual)
- **Enumerated:** June 16, 2010
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R169735 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 2480 LLEWELLYN AVE, Fort Meade, MD 20755-7081
- **Phone:** (301) 677-8800 · **Fax:** (301) 677-8013
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Johns Hopkins Community Physicians, Inc (NPI 1669293668, Odenton, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 17, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1699096396) · Data from the CMS NPPES public registry.