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AMANDA B GORDON FNP
NPI 1780103143
Nurse Practitioner in Saint Louis, MO

Active since September 15, 2017PECOS EnrolledAccepts Medicare Assignment
30 RONNIES PLZ, SAINT LOUIS, MO 63126(314) 989-6807 Get Directions Write a Review

NPPES record last updated: June 6, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 6, 2024, Oct 22, 2020, Feb 4, 2019 and 1 more (4 updates tracked since 2017).

About Amanda B Gordon Fnp NPPES

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

AMANDA B GORDON FNP (NPI 1780103143) is an individual nurse practitioner in Saint Louis, Missouri, licensed in Missouri (2017007862) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS, is affiliated with Ssm St Clare Health Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1780103143
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameAMANDA B GORDONCredential: FNP
Location Address30 RONNIES PLZSaint Louis, MO 63126-3552
Mailing AddressPo Box 955534Saint Louis, MO 63195-5534
Phone(314) 989-6807
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 15, 2017
Last NPPES UpdateJune 6, 20244 updates tracked since enumeration
NPPES CertifiedJune 6, 2024
✔ NPI 1780103143 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
Licenses✔ Licensed in MO · 2017007862✔ Licensed in WI · 14987
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 ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 2017007862 (MO)
30 RONNIES PLZ, Saint Louis, MO 63126
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Other Names 1

Former Name (1)Amanda B Darden

Secondary Practice Locations 2

Location 11718 Catlin DrBarnhart, MO 63012-1277 · Phone (844) 766-7200
Location 21821 S Stoughton RdMadison, WI 53716-2257 · Phone (314) 989-6807 · Fax (314) 989-2940

Other Identifiers 1

Medicaid1780103143WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Dean Health Plan, Medica and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amanda B Gordon Fnp 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 ID1850666462
PECOS Enrollment IDI20171009000411, I20240219001677
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 Reassignments

7

Medicare enrollment records show Amanda Gordon reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ssm Medical Group, Inc.
6.0 mi
Multi-Specialty
1011 BOWLES AVE, SUITE 300
Fenton, MO 63026
  • Reassigned Medicare billing, Missouri enrollment
  • 697 clinicians in this Medicare group
NPI 1700966207 (636) 496-5000
Ssm Health Care St Louis
6.1 mi
Emergency Medicine
1015 BOWLES AVENUE
Fenton, MO 63026
  • Reassigned Medicare billing, Missouri enrollment
  • 741 clinicians in this Medicare group
NPI 1275586174 (636) 496-2502
Emergency Physicians Of St. Luke's, LLC
11 mi
Emergency Medicine
232 S WOODS MILL RD
Chesterfield, MO 63017
  • Reassigned Medicare billing, Missouri enrollment
  • Medicare enrollment name: Emergency Physicians Of St Lukes LLC
  • 124 clinicians in this Medicare group
NPI 1215359815 (314) 205-6926
Physician Services Corporation Of Southern Illinois Inc.
78 mi
Internal Medicine
4218 LINCOLNSHIRE DR
Mount Vernon, IL 62864
  • Reassigned Medicare billing, Illinois enrollment
  • 296 clinicians in this Medicare group
NPI 1831101807 (618) 899-3600
Dean Health Systems, Inc
316 mi
Allergy & Immunology
1211 FISH HATCHERY RD
Madison, WI 53715
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,377 clinicians in this Medicare group
NPI 1053358846 (608) 252-8000
Agnesian Healthcare
349 mi
Mental Health (Including Community Mental Health Center)
200 FRONT ST, SUITE 3D
Beaver Dam, WI 53916
  • Reassigned Medicare billing, Wisconsin enrollment
  • 606 clinicians in this Medicare group
NPI 1700817657 (920) 885-2780
Saints Medical Group, LLC
446 mi
Family Medicine
777 NW 63RD ST STE 452
Oklahoma City, OK 73116
  • Reassigned Medicare billing, Oklahoma enrollment
  • 507 clinicians in this Medicare group
NPI 1437195922 (405) 231-3857

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

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
68 services65 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
18 services18 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ssm St Clare Health Center

Acute Care Hospitals · Fenton, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260081
Location1015 BowlesFenton, MO 63026 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63126 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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 14

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

MAX HARRISON RICH MD
Internal Medicine
30 RONNIES PLZ
SAINT LOUIS, MO 63126
St. Louis County (314) 748-5800
DANNA BOYD CPNP
Nurse Practitioner (Pediatrics)
30 RONNIES PLZ
SAINT LOUIS, MO 63126
St. Louis County (314) 748-5800
ABBY LOYET NP-C
Nurse Practitioner (Family)
30 RONNIES PLZ
SAINT LOUIS, MO 63126
St. Louis County (314) 748-5800
KARA J STACKLEY NP
Nurse Practitioner
30 RONNIES PLZ
SAINT LOUIS, MO 63126
St. Louis County (314) 748-5800
MS. JILL LOUISE CACCIABANDO APNP
Nurse Practitioner
30 RONNIES PLZ
SAINT LOUIS, MO 63126
St. Louis County (314) 989-6807
CELIA BANGERT MD
Pediatrics
30 RONNIES PLZ
SAINT LOUIS, MO 63126
St. Louis County (314) 748-5800
TUYCHE SANG MD
Internal Medicine
30 RONNIES PLZ
SAINT LOUIS, MO 63126
St. Louis County (314) 748-5800
ROBERTO PEREZ M.D.
Internal Medicine
30 RONNIES PLZ
SAINT LOUIS, MO 63126
St. Louis County (314) 748-5800

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 Amanda Gordon's NPI number?

The NPI number for Amanda Gordon is 1780103143. It was assigned to this individual provider in the NPPES registry on September 15, 2017. The provider is also known as Amanda B Darden.

Where is Amanda Gordon located?

Amanda Gordon practices at 30 Ronnies Plz, Saint Louis, MO 63126. The listed phone number is (314) 989-6807.

What is Amanda Gordon's specialty?

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

Is Amanda Gordon enrolled in Medicare?

Yes. Amanda Gordon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Amanda Gordon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Gordon reassigns Medicare benefits to 7 organizations: Ssm Medical Group, Inc. (Fenton, MO), Ssm Health Care St Louis (Fenton, MO), Emergency Physicians Of St. Luke's, LLC (Chesterfield, MO), Physician Services Corporation Of Southern Illinois Inc. (Mount Vernon, IL), Dean Health Systems, Inc (Madison, WI) and 2 more organizations, listed in the Medicare section above. Each 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 Amanda Gordon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amanda Gordon accept?

Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan, Medica, Mending Health and Oscar Insurance Company list Amanda Gordon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Amanda Gordon affiliated with any hospitals?

According to CMS data, Amanda Gordon is affiliated with Ssm St Clare Health Center.

When was this NPI record last updated?

The NPPES record for Amanda Gordon was last updated on June 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.