ANGELA GORDON CNP
NPI 1790516219
Nurse Practitioner - Family in Sioux Falls, SD

Active since August 08, 2024PECOS EnrolledAccepts Medicare Assignment
4405 E 26TH ST, SIOUX FALLS, SD 57103(605) 332-2883 Get Directions Write a Review

NPPES record last updated: October 29, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Angela Gordon Cnp NPPES

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

ANGELA GORDON CNP (NPI 1790516219) is an individual family provider in Sioux Falls, South Dakota, licensed in South Dakota (CP003325) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Sioux Falls, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1790516219
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANGELA GORDONCredential: CNP
Location Address4405 E 26TH STSioux Falls, SD 57103-4187
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (605) 328-6585
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 8, 2024
Last NPPES UpdateOctober 29, 2024
NPPES CertifiedOctober 29, 2024
✔ NPI 1790516219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in SD · CP003325
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License CP003325 (SD)
4405 E 26TH ST, Sioux Falls, SD 57103

Secondary Practice Location 1

Location 14000 N Brendan LnSioux Falls, SD 57107-1286 · Phone (605) 332-2883

Accepted 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

Angela Gordon Cnp 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 ID7618400359
PECOS Enrollment IDI20241101002101
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

2

Medicare enrollment records show Angela Gordon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Family Medicine
4405 E 26TH ST
Sioux Falls, SD 57103
  • Reassigned Medicare billing, South Dakota enrollment
  • 826 clinicians in this Medicare group
Family Medicine
1420 W 22NDST STE 104
Sioux Falls, SD 57105
  • Reassigned Medicare billing, South Dakota enrollment
  • 1,097 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57103 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
$85.21 typical visit price
range $55.52 – $167.23
Typical copayment $21.30 (range $13.88 – $41.80)
Most-billed visit code 99203
Established Patient
$97.88 typical visit price
range $18.08 – $137.08
Typical copayment $24.47 (range $4.52 – $34.27)
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.

Family Medicine
4405 E 26TH ST
SIOUX FALLS, SD 57103
Student in an Organized Health Care Education/Training Program
4405 E 26TH ST
SIOUX FALLS, SD 57103
Family Medicine
4405 E 26TH ST
SIOUX FALLS, SD 57103
Nurse Practitioner (Family)
4405 E 26TH ST
SIOUX FALLS, SD 57103
Nurse Practitioner (Family)
4405 E 26TH ST
SIOUX FALLS, SD 57103
Pediatrics
4405 E 26TH ST
SIOUX FALLS, SD 57103
Physician Assistant
4405 E 26TH ST
SIOUX FALLS, SD 57103
Pediatrics
4405 E 26TH ST
SIOUX FALLS, SD 57103

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 Angela Gordon's NPI number?

The NPI number for Angela Gordon is 1790516219. It was assigned to this individual provider in the NPPES registry on August 8, 2024.

Where is Angela Gordon located?

Angela Gordon practices at 4405 E 26th St, Sioux Falls, SD 57103. The listed phone number is (605) 332-2883.

What is Angela Gordon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Angela Gordon enrolled in Medicare?

Yes. Angela 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 Angela Gordon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Angela Gordon reassigns Medicare benefits to 2 organizations: Sanford Clinic (Sioux Falls, SD) and Sanford Medical Center (Sioux Falls, SD). 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 Angela Gordon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Angela Gordon accept?

Health plans from Sanford Health Plan, Security Health Plan, Wellmark Health Plan of Iowa, Inc. and Wellmark of South Dakota, Inc. list Angela 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.

When was this NPI record last updated?

The NPPES record for Angela Gordon was last updated on October 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.