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ELIZABETH J GORDON AGACNP
NPI 1891526562
Nurse Practitioner - Acute Care in Clackamas, OR

Active since August 13, 2024PECOS EnrolledAccepts Medicare Assignment
12550 SE 93RD AVE STE 250, CLACKAMAS, OR 97015(503) 654-1153(503) 654-7693 Get Directions Write a Review

NPPES record last updated: August 22, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 22, 2024, Aug 13, 2024 (2 updates tracked since 2024).

About Elizabeth J Gordon Agacnp NPPES

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

ELIZABETH J GORDON AGACNP (NPI 1891526562) is an individual acute care provider in Clackamas, Oregon, licensed in Oregon (10029557) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1891526562
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameELIZABETH J GORDONCredential: AGACNP
Location Address12550 SE 93RD AVE STE 250Clackamas, OR 97015-6787
Mailing Address12550 Se 93rd Ave Ste 250Clackamas, OR 97015-6787 · (503) 654-1153 · Fax (503) 654-7693
Phone(503) 654-1153
Fax(503) 654-7693
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 13, 2024
Last NPPES UpdateAugust 22, 20242 updates tracked since enumeration
NPPES CertifiedAugust 22, 2024
✔ NPI 1891526562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in OR · 10029557
12550 SE 93RD AVE STE 250, Clackamas, OR 97015
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, PacificSource Health Plans, Regence BlueCross BlueShield of Oregon.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

Elizabeth J Gordon Agacnp 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 ID7618417767
PECOS Enrollment IDI20240904003347
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 Reassignment

Medicare enrollment records show Elizabeth Gordon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Metro Infectious Disease Consultants, LLC
1,744 mi
Infectious Disease
901 MCCLINTOCK DR, SUITE 202
Burr Ridge, IL 60527
  • Reassigned Medicare billing, Oregon enrollment
  • 3 clinicians in this Medicare group
NPI 1235125717 (888) 220-6432

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 97015 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
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
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.

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 Elizabeth Gordon's NPI number?

The NPI number for Elizabeth Gordon is 1891526562. It was assigned to this individual provider in the NPPES registry on August 13, 2024.

Where is Elizabeth Gordon located?

Elizabeth Gordon practices at 12550 SE 93rd Ave Ste 250, Clackamas, OR 97015. The listed phone number is (503) 654-1153.

What is Elizabeth Gordon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Elizabeth Gordon enrolled in Medicare?

Yes. Elizabeth 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 organization bills Medicare for Elizabeth Gordon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Gordon reassigns Medicare benefits to Metro Infectious Disease Consultants, LLC (Burr Ridge, IL). The 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 Elizabeth Gordon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elizabeth Gordon accept?

Health plans from BridgeSpan Health Company, PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Elizabeth 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 Elizabeth Gordon was last updated on August 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.