WHITNEY NICOLE GORDON
NPI 1811845456
Nurse Practitioner - Family in Clinton, KY

Q: What is Whitney Gordon's NPI number?

The NPI number for Whitney Gordon is 1811845456. It was assigned to this individual provider in the NPPES registry on March 19, 2026.

Q: What is Whitney Gordon's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Whitney Gordon was last updated on April 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 March 19, 2026PECOS EnrolledAccepts Medicare Assignment

308 S WASHINGTON ST STE 200, CLINTON, KY 42031(270) 913-2478(270) 913-2479 Get Directions Write a Review

NPPES record last updated: April 22, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 22, 2026, Mar 25, 2026, Mar 19, 2026 (3 updates tracked since 2026).

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About Whitney Nicole Gordon NPPES

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

WHITNEY NICOLE GORDON (NPI 1811845456) is an individual family provider in Clinton, Kentucky, licensed in Kentucky (4054276) and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2026).

NPPES Registry Identity

NPI1811845456

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameWHITNEY NICOLE GORDON

Location Address308 S WASHINGTON ST STE 200Clinton, KY 42031-1347

Mailing AddressPo Box 497Augusta, AR 72006-0497 · (870) 347-2534

Phone(270) 913-2478

Fax(270) 913-2479

Sole ProprietorYes

Medical School CMSOtherGraduated 2026

Enumeration DateMarch 19, 2026

Last NPPES UpdateApril 22, 20263 updates tracked since enumeration

NPPES CertifiedApril 22, 2026

✔ NPI 1811845456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in KY · 4054276

308 S WASHINGTON ST STE 200, Clinton, KY 42031

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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

Whitney Nicole Gordon 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 ID4082181201

PECOS Enrollment IDI20260424002543

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42031 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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 5

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

JESSICA BROOK CHARLTON L.P.C.A.

Counselor (Professional)