MADONNA K GORDON ARNP
NPI 1790907319
Nurse Practitioner - Pediatrics in Lebanon, NH
About Madonna K Gordon Arnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MADONNA K GORDON ARNP (NPI 1790907319) is an individual pediatrics provider in Lebanon, New Hampshire, licensed in New Hampshire (061091-23) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2005).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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
Madonna K Gordon Arnp 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 Reassignments
2Medicare enrollment records show Madonna Gordon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lebanon, NH 03756
- Reassigned Medicare billing, New Hampshire enrollment
- 2,999 clinicians in this Medicare group
Lebanon, NH 03756
- Reassigned Medicare billing, New Hampshire enrollment
- 2,620 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 03756 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LEBANON, NH 03756
LEBANON, NH 03756
LEBANON, NH 03756
LEBANON, NH 03756
LEBANON, NH 03756
LEBANON, NH 03756
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 Madonna Gordon's NPI number?
The NPI number for Madonna Gordon is 1790907319. It was assigned to this individual provider in the NPPES registry on May 3, 2007.
Where is Madonna Gordon located?
Madonna Gordon practices at 1 Medical Center Dr, Lebanon, NH 03756. The listed phone number is (603) 650-5000.
What is Madonna Gordon's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Madonna Gordon enrolled in Medicare?
Yes. Madonna 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 Madonna Gordon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Madonna Gordon reassigns Medicare benefits to 2 organizations: Dartmouth-Hitchcock Clinic (Lebanon, NH) and Mary Hitchcock Memorial Hospital (Lebanon, NH). 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 Madonna Gordon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Madonna Gordon accept?
Health plans from Ambetter from NH Healthy Families and Anthem Blue Cross and Blue Shield list Madonna 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 Madonna Gordon was last updated on May 19, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Madonna K Gordon, ARNP · NPI 1790907319
Pediatrics physician in Lebanon, New Hampshire. Individual provider, active in the CMS NPPES registry since May 3, 2007.
## Identity
- **NPI:** 1790907319 (Entity type: Individual)
- **Enumerated:** May 3, 2007
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** 061091-23 (New Hampshire)
- **Sole proprietor:** No
## Practice location
- **Address:** 1 MEDICAL CENTER DR, Lebanon, NH 03756-1000
- **Phone:** (603) 650-5000
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Dartmouth-Hitchcock Clinic (NPI 1548210198, Lebanon, NH); Mary Hitchcock Memorial Hospital (NPI 1023092053, Lebanon, NH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** May 19, 2017
- **Other identifiers:** Medicaid 9649831 (WA)
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Source: [NPI Profile](https://npiprofile.com/npi/1790907319) · Data from the CMS NPPES public registry.