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

Q: 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.

Q: What is Amanda 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 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.

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: August 09, 2026.

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

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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, Medica, Mending Health and more.Insurance ›

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

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.

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