COURTNEY RAE GORDON NP
NPI 1891312948
Nurse Practitioner in Ridgeland, MS

Q: What is Courtney Gordon's NPI number?

The NPI number for Courtney Gordon is 1891312948. It was assigned to this individual provider in the NPPES registry on July 5, 2020. The provider is also known as Courtney Rae Houston.

Q: What is Courtney Gordon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Courtney Gordon was last updated on May 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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 July 05, 2020PECOS EnrolledAccepts Medicare Assignment

410 ORCHARD PARK, RIDGELAND, MS 39157(601) 957-0727 Get Directions Write a Review

NPPES record last updated: May 30, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 30, 2025, Aug 11, 2023, Jul 12, 2023 and 1 more (4 updates tracked since 2020).

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About Courtney Rae Gordon Np NPPES

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

COURTNEY RAE GORDON NP (NPI 1891312948) is an individual nurse practitioner in Ridgeland, Mississippi, licensed in Mississippi (903982) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Ridgeland, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1891312948

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameCOURTNEY RAE GORDONCredential: NP

Location Address410 ORCHARD PARKRidgeland, MS 39157-5135

Mailing Address7048 Old Canton Rd Ste 2eRidgeland, MS 39157-1021 · (601) 992-9790 · Fax (601) 992-9796

Phone(601) 957-0727

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateJuly 5, 2020

Last NPPES UpdateMay 30, 20254 updates tracked since enumeration

NPPES CertifiedMay 30, 2025

✔ NPI 1891312948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in MS · 903982

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

410 ORCHARD PARK, Ridgeland, MS 39157

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Other Names 1

Former Name (1)Courtney Rae Houston

Secondary Practice Location 1

Location 1120 Dyess RdRidgeland, MS 39157-4410 · Phone (601) 767-1700

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

Courtney Rae Gordon Np 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 ID5698199479

PECOS Enrollment IDI20200727002195

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

Medicare enrollment records show Courtney Gordon reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ennoble Hc Ms II LLC

1.5 mi

Geriatric Medicine

7048 OLD CANTON RD STE 2E
Ridgeland, MS 39157

Reassigned Medicare billing, Mississippi enrollment
7 clinicians in this Medicare group

NPI 1760308696 (551) 295-8223

Ennoble Hc Ms III, LLC

1.5 mi

Geriatric Medicine

7048 OLD CANTON RD STE 2E
Ridgeland, MS 39157

Reassigned Medicare billing, Mississippi enrollment
8 clinicians in this Medicare group

NPI 1518884949 (551) 295-8223

Ennoble Hc Ms LLC

1.5 mi

Geriatric Medicine

7048 OLD CANTON RD STE 2E
Ridgeland, MS 39157

Reassigned Medicare billing, Mississippi enrollment
7 clinicians in this Medicare group

NPI 1467379891 (551) 295-8223

Southern Medical Consultants LLC

1.5 mi

Primary Care

7048 OLD CANTON RD STE 2E
Ridgeland, MS 39157

Reassigned Medicare billing, Mississippi enrollment
37 clinicians in this Medicare group

NPI 1215396577 (601) 992-9790

Prime Care Clinic Of Clinton, LLC

12 mi

Adult Health

709 CLINTON PKWY
Clinton, MS 39056

Reassigned Medicare billing, Mississippi enrollment
3 clinicians in this Medicare group

NPI 1790444263 (601) 259-9532

Pioneer Health Care , LLC

66 mi

General Practice

4297 HWY 42
Bassfield, MS 39421

Reassigned Medicare billing, Mississippi enrollment
40 clinicians in this Medicare group

NPI 1336384742 (601) 550-3153

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350

An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.

718 services68 patients

Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow G0181

This service involves a physician overseeing your care while you receive Medicare-covered services from a home health agency. The care you're receiving is complex and involves various disciplines. The physician isn't physically present but regularly supervises your treatment to ensure optimal health outcomes.

191 services45 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

30 services27 patients

Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a G0179

This procedure involves a doctor or approved practitioner reviewing your health status and re-certifying your need for Medicare-covered home health services. It includes communication with the home health agency and assessment of your health reports, even when you're not physically present.

26 services21 patients

Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes 99345

A new patient home visit is a comprehensive 75-minute appointment conducted at your home. The healthcare professional will assess your health, discuss any concerns, and create a personalized care plan. It's convenient, comfortable, and tailored to your specific needs.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39157 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

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

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 8

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

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