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JESSICA BAKER-GORDON
NPI 1912707779
Nurse Practitioner - Psychiatric/Mental Health in East Patchogue, NY

Active since March 19, 2025PECOS Enrolled
640 GAZZOLA DR, EAST PATCHOGUE, NY 11772(347) 351-4437 Get Directions Write a Review

NPPES record last updated: March 23, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jessica Baker-gordon NPPES

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

JESSICA BAKER-GORDON (NPI 1912707779) is an individual psychiatric/mental health provider in East Patchogue, New York, licensed in New York (406871) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1912707779
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJESSICA BAKER-GORDON
Location Address640 GAZZOLA DREast Patchogue, NY 11772-4952
Mailing Address640 Gazzola DrEast Patchogue, NY 11772-4952
Phone(347) 351-4437
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 19, 2025
Last NPPES UpdateMarch 23, 2025
NPPES CertifiedMarch 23, 2025
✔ NPI 1912707779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · 406871
640 GAZZOLA DR, East Patchogue, NY 11772
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Baker-gordon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2264955400
PECOS Enrollment IDI20260407000342
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 Jessica Baker-gordon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

New York City Health And Hospitals Corporation
44 mi
General Acute Care Hospital
82-68 164TH ST
Jamaica, NY 11432
  • Reassigned Medicare billing, New York enrollment
  • 1,615 clinicians in this Medicare group
NPI 1801803903 (718) 883-2929

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 11772 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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 Jessica Baker-gordon's NPI number?

The NPI number for Jessica Baker-gordon is 1912707779. It was assigned to this individual provider in the NPPES registry on March 19, 2025.

Where is Jessica Baker-gordon located?

Jessica Baker-gordon practices at 640 Gazzola Dr, East Patchogue, NY 11772. The listed phone number is (347) 351-4437.

What is Jessica Baker-gordon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jessica Baker-gordon enrolled in Medicare?

Yes. Jessica Baker-gordon is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jessica Baker-gordon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Baker-gordon reassigns Medicare benefits to New York City Health And Hospitals Corporation (Jamaica, NY). 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 Jessica Baker-gordon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jessica Baker-gordon was last updated on March 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.