GORDON MESA DNP, FNP-BC
NPI 1740653559
Nurse Practitioner - Family in Chicago, IL

Active since November 03, 2015PECOS EnrolledAccepts Medicare Assignment
3134 N CLARK ST, CHICAGO, IL 60657(773) 766-1949 Get Directions Write a Review

NPPES record last updated: April 19, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 19, 2022, Sep 21, 2020, May 15, 2020 and 1 more (4 updates tracked since 2019).

About Gordon Mesa Dnp, Fnp-bc NPPES

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

GORDON MESA DNP, FNP-BC (NPI 1740653559) is an individual family provider in Chicago, Illinois, licensed in Illinois (277000201) and active in the NPI registry since November 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1740653559
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameGORDON MESACredential: DNP, FNP-BC
Location Address3134 N CLARK STChicago, IL 60657-4414
Mailing Address3134 N Clark StChicago, IL 60657-4414 · (773) 766-1949 · Fax (773) 766-4908
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateNovember 3, 2015
Last NPPES UpdateApril 19, 20224 updates tracked since enumeration
NPPES CertifiedApril 19, 2022
NPI 1740653559 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 · 277000201
3134 N CLARK ST, Chicago, IL 60657

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

Gordon Mesa Dnp, Fnp-bc 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 ID9638473705
PECOS Enrollment IDI20160210001029
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 60657 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 20

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

Internal Medicine (Endocrinology, Diabetes & Metabolism)
3134 N CLARK ST
CHICAGO, IL 60657
Nurse Practitioner (Family)
3134 N CLARK ST
CHICAGO, IL 60657
Internal Medicine
3134 N CLARK ST
CHICAGO, IL 60657
Psychiatry & Neurology (Neurology)
3134 N CLARK ST
CHICAGO, IL 60657
Nurse Anesthetist, Certified Registered
3134 N CLARK ST
CHICAGO, IL 60657
Anesthesiology
3134 N CLARK ST
CHICAGO, IL 60657
Orthopaedic Surgery
3134 N CLARK ST
CHICAGO, IL 60657
Internal Medicine
3134 N CLARK ST
CHICAGO, IL 60657

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1740653559, enumerated as an "individual" on November 03, 2015.

The provider is located at 3134 N CLARK ST CHICAGO, IL 60657 and the phone number is (773) 766-1949.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.