MRS. JORDAN MICHELLE GOUGH PMHNP-BC
NPI 1790012029
Nurse Practitioner - Psychiatric/Mental Health in Denver, CO

Q: What is Jordan Gough's NPI number?

The NPI number for Jordan Gough is 1790012029. It was assigned to this individual provider in the NPPES registry on November 6, 2009.

Q: What is Jordan Gough's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: Is Jordan Gough enrolled in Medicare?

No. Jordan Gough has opted out of Medicare through March 21, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Jordan Gough was last updated on January 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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 November 06, 2009Opted out of Medicare · through Mar 21, 2027

950 S CHERRY ST STE 1675, DENVER, CO 80246(303) 558-6592(720) 637-6635 Get Directions Write a Review

NPPES record last updated: January 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 6, 2024, Aug 22, 2023 (2 updates tracked since 2023).

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About Mrs. Jordan Michelle Gough Pmhnp-bc NPPES

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

MRS. JORDAN MICHELLE GOUGH PMHNP-BC (NPI 1790012029) is an individual psychiatric/mental health provider in Denver, Colorado, licensed in Colorado (APN.0999061-NP) and active in the NPI registry since November 2009. She has opted out of Medicare through March 21, 2027.

NPPES Registry Identity

NPI1790012029

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMRS. JORDAN MICHELLE GOUGHCredential: PMHNP-BC

Location Address950 S CHERRY ST STE 1675Denver, CO 80246-2532

Mailing Address950 S Cherry St Ste 1675Denver, CO 80246-2532 · (303) 558-6592 · Fax (720) 637-6635

Phone(303) 558-6592

Fax(720) 637-6635

Sole ProprietorYes

Enumeration DateNovember 6, 2009

Last NPPES UpdateJanuary 18, 20252 updates tracked since enumeration

NPPES CertifiedJanuary 18, 2025

✔ NPI 1790012029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in CO · APN.0999061-NP

950 S CHERRY ST STE 1675, Denver, CO 80246

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mrs. Jordan Michelle Gough Pmhnp-bc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 21, 2025 through March 21, 2027.

Opt-Out Effective DateMarch 21, 2025

Opt-Out In Effect ThroughMarch 21, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 17

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

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