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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: July 26, 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
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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

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.

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.

When was this NPI record last updated?

The NPPES record for Elizabeth Gordon was last updated on August 22, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.