MRS. DANIELLE ALEXIS GORDON FNP
NPI 1780148056
Nurse Practitioner - Family in Imperial Beach, CA
About Mrs. Danielle Alexis Gordon Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. DANIELLE ALEXIS GORDON FNP (NPI 1780148056) is an individual family provider in Imperial Beach, California, licensed in California (NP95010963) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Diego, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses 2
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 and accepts Medicare assignment
Mrs. Danielle Alexis 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.
Medicare Billing Reassignment
Medicare enrollment records show Danielle Gordon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Spring Valley, CA 91978
- Reassigned Medicare billing, California enrollment
- 6 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.
Areas of Expertise CMS Part B claims 4
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 91932 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 3
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 Danielle Gordon's NPI number?
The NPI number for Danielle Gordon is 1780148056. It was assigned to this individual provider in the NPPES registry on January 30, 2019.
Where is Danielle Gordon located?
Danielle Gordon practices at 705 Palm Ave, Imperial Beach, CA 91932. The listed phone number is (619) 423-3774.
What is Danielle Gordon's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Danielle Gordon enrolled in Medicare?
Yes. Danielle 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 organization bills Medicare for Danielle Gordon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Danielle Gordon reassigns Medicare benefits to Innovative Wellness Clinic, Inc., A Nursing Corporation (Spring Valley, CA). 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 Danielle 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 Danielle Gordon was last updated on May 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Mrs. Danielle Alexis Gordon, FNP · NPI 1780148056
Family physician in Imperial Beach, California. Individual provider, active in the CMS NPPES registry since January 30, 2019.
## Identity
- **NPI:** 1780148056 (Entity type: Individual)
- **Enumerated:** January 30, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** NP95010963 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 705 PALM AVE, Imperial Beach, CA 91932-1229
- **Phone:** (619) 423-3774
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Innovative Wellness Clinic, Inc., A Nursing Corporation (NPI 1316535776, Spring Valley, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** May 12, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1780148056) · Data from the CMS NPPES public registry.