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ANGELA THERESA GORDON NP
NPI 1891630489
Nurse Practitioner - Family in Springdale, AR

Active since April 21, 2026PECOS Enrolled
3901 PARKWAY CIR # 550, SPRINGDALE, AR 72762(479) 346-1850(479) 346-1851 Get Directions Write a Review

NPPES record last updated: June 22, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 1, 2026, Apr 21, 2026 (2 updates tracked since 2026).

About Angela Theresa Gordon Np NPPES

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

ANGELA THERESA GORDON NP (NPI 1891630489) is an individual family provider in Springdale, Arkansas, licensed in Arkansas (236894) and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2026).

NPPES Registry Identity

NPI1891630489
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANGELA THERESA GORDONCredential: NP
Location Address3901 PARKWAY CIR # 550Springdale, AR 72762-6362
Mailing Address950 E State Highway 114 Ste 200Southlake, TX 76092-5261 · (214) 424-2200 · Fax (214) 231-2159
Phone(479) 346-1850
Fax(479) 346-1851
Sole ProprietorYes
Medical School CMSOtherGraduated 2026
Enumeration DateApril 21, 2026
Last NPPES UpdateJune 22, 20262 updates tracked since enumeration
NPPES CertifiedJune 22, 2026
✔ NPI 1891630489 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
License✔ Licensed in AR · 236894
3901 PARKWAY CIR # 550, Springdale, AR 72762
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Angela Theresa Gordon Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2769946656
PECOS Enrollment IDI20260712000119
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 Angela Gordon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Texas Digestive Disease Consultants PLLC
Same address
Gastroenterology
3901 PARKWAY CIR STE 550
Springdale, AR 72762
  • Reassigned Medicare billing, Arkansas enrollment
  • 40 clinicians in this Medicare group
NPI 1508400425 (479) 346-1850

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 72762 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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 Angela Gordon's NPI number?

The NPI number for Angela Gordon is 1891630489. It was assigned to this individual provider in the NPPES registry on April 21, 2026.

Where is Angela Gordon located?

Angela Gordon practices at 3901 Parkway Cir # 550, Springdale, AR 72762. The listed phone number is (479) 346-1850.

What is Angela Gordon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Angela Gordon enrolled in Medicare?

Yes. Angela Gordon is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Angela Gordon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Angela Gordon reassigns Medicare benefits to Texas Digestive Disease Consultants PLLC (Springdale, AR). 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 Angela Gordon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Angela Gordon accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Angela 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 Angela Gordon was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.