MS. KONWRE GORDON FNP-BC
NPI 1871048470
Nurse Practitioner - Family in Oak Park, MI
About Ms. Konwre Gordon Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. KONWRE GORDON FNP-BC (NPI 1871048470) is an individual family provider in Oak Park, Michigan, licensed in California (95022974) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
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
Ms. Konwre Gordon Fnp-bc 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 Konwre Gordon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Detroit, MI 48202
- Reassigned Medicare billing, Michigan enrollment
- 47 clinicians in this Medicare group
Le Grand, CA 95333
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Golden Valley Health Centers
- 440 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 48237 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 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
OAK PARK, MI 48237
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 Konwre Gordon's NPI number?
The NPI number for Konwre Gordon is 1871048470. It was assigned to this individual provider in the NPPES registry on August 24, 2016.
Where is Konwre Gordon located?
Konwre Gordon practices at 21040 Greenfield Rd, Oak Park, MI 48237. The listed phone number is (248) 967-6500.
What is Konwre Gordon's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Konwre Gordon enrolled in Medicare?
Yes. Konwre 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 Konwre Gordon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Konwre Gordon reassigns Medicare benefits to 2 organizations: The Wellness Plan Medical Centers (Detroit, MI) and Golden Valley Health Center (Le Grand, CA). 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 Konwre Gordon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Konwre Gordon accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Konwre 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 Konwre Gordon was last updated on December 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Ms. Konwre Gordon, FNP-BC · NPI 1871048470
Family physician in Oak Park, Michigan. Individual provider, active in the CMS NPPES registry since August 24, 2016.
## Identity
- **NPI:** 1871048470 (Entity type: Individual)
- **Enumerated:** August 24, 2016
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95022974 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 21040 GREENFIELD RD, Oak Park, MI 48237-3025
- **Phone:** (248) 967-6500 · **Fax:** (248) 967-6528
## 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): The Wellness Plan Medical Centers (NPI 1043373244, Detroit, MI); Golden Valley Health Center (NPI 1356325310, Le Grand, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** December 1, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1871048470) · Data from the CMS NPPES public registry.