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: August 02, 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.

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
Fax(479) 346-1851
Sole ProprietorYes
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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

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

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 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.

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 44 days 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.