MS. KONWRE GORDON FNP-BC
NPI 1871048470
Nurse Practitioner - Family in Oak Park, MI

Active since August 24, 2016PECOS EnrolledAccepts Medicare Assignment
21040 GREENFIELD RD, OAK PARK, MI 48237(248) 967-6500(248) 967-6528 Get Directions Write a Review

NPPES record last updated: December 1, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 1, 2025, Aug 13, 2020, Nov 13, 2017 and 1 more (4 updates tracked since 2016).

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

NPI1871048470
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. KONWRE GORDONCredential: FNP-BC
Location Address21040 GREENFIELD RDOak Park, MI 48237-3025
Mailing Address21040 Greenfield RdOak Park, MI 48237-3025 · (248) 967-6500 · Fax (313) 875-5617
Fax(248) 967-6528
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateAugust 24, 2016
Last NPPES UpdateDecember 1, 20254 updates tracked since enumeration
NPPES CertifiedDecember 1, 2025
NPI 1871048470 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
Licenses Licensed in CA · 95022974 Licensed in MI · 4704257255
21040 GREENFIELD RD, Oak Park, MI 48237

Accepted Insurance

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

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.

PECOS PAC ID9931488517
PECOS Enrollment IDI20241018000000
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 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.

New Patient
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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 12

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

Pediatrics
21040 GREENFIELD RD
OAK PARK, MI 48237
Internal Medicine
21040 GREENFIELD RD, STE 200
OAK PARK, MI 48237
Family Medicine
21040 GREENFIELD RD
OAK PARK, MI 48237
Family Medicine
21040 GREENFIELD RD
OAK PARK, MI 48237
Pharmacist
21040 GREENFIELD RD
OAK PARK, MI 48237
Obstetrics & Gynecology
21040 GREENFIELD RD
OAK PARK, MI 48237
Psychiatry & Neurology (Psychiatry)
21040 GREENFIELD RD
OAK PARK, MI 48237
Clinic/Center (Medical Specialty)
21040 GREENFIELD RD
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.

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, Priority Health and UnitedHealthcare 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 8 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.