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KATRENA L GORDON NP
NPI 1952769614
Nurse Practitioner - Gerontology in Little Rock, AR

Active since February 09, 2016PECOS EnrolledAccepts Medicare Assignment
4301 W MARKHAM ST # 520-4, LITTLE ROCK, AR 72205(501) 686-6644(501) 686-5725 Get Directions Write a Review

NPPES record last updated: June 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 24, 2020, Feb 9, 2016 (2 updates tracked since 2016).

About Katrena L Gordon Np NPPES

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

KATRENA L GORDON NP (NPI 1952769614) is an individual gerontology provider in Little Rock, Arkansas, licensed in Arkansas (A004655) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1952769614
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameKATRENA L GORDONCredential: NP
Location Address4301 W MARKHAM ST # 520-4Little Rock, AR 72205-7101
Mailing Address4301 W Markham St # 783Little Rock, AR 72205-7101 · (501) 686-8000 · Fax (501) 526-5148
Phone(501) 686-6644
Fax(501) 686-5725
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateFebruary 9, 2016
Last NPPES UpdateJune 21, 20222 updates tracked since enumeration
NPPES CertifiedJune 21, 2022
✔ NPI 1952769614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in AR · A004655
Also ListedNurse PractitionerTaxonomy 363L00000X · License A004655 (AR)
4301 W MARKHAM ST # 520-4, Little Rock, AR 72205
Open in Google Maps ↗

Other Names 1

Former Name (1)Katrena L Wilson Np

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave.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

Katrena L Gordon Np 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 ID2769788165
PECOS Enrollment IDI20160310002238
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 Reassignments

3

Medicare enrollment records show Katrena Gordon reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Arkansas For Medical Sciences
Same address
Advanced Practice Midwife
4301 W MARKHAM ST # 783
Little Rock, AR 72205
  • Reassigned Medicare billing, Arkansas enrollment
  • Also billed through NPI 1831144120 (Arkansas)
  • 2,038 clinicians in this Medicare group
NPI 1043372220 (501) 686-8000
Baptist Health
3.5 mi
Cardiovascular Disease
9601 BAPTIST HEALTH DRIVE
Little Rock, AR 72205
  • Reassigned Medicare billing, Arkansas enrollment
  • 110 clinicians in this Medicare group
NPI 1578593067 (501) 202-2080
Southeast Arkansas Hospitalists, LLP
42 mi
Hospitalist
1600 W 40TH AVE
Pine Bluff, AR 71603
  • Reassigned Medicare billing, Arkansas enrollment
  • 58 clinicians in this Medicare group
NPI 1912374018 (870) 541-7100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
115 services19 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
60 services40 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
25 services14 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
21 services19 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
19 services15 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72205 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.

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg J7503
Treatment-Chemotherapy · category RH002N
4 suppliers23 claims8,610 services$1.21 avg. paid by Medicare
Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
11 suppliers112 claims19,020 services$0.28 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
7 suppliers38 claims6,355 services$0.01 avg. paid by Medicare
Cyclosporine, oral, 25 mg J7515
Treatment-Treatment - Miscellaneous · category RX029N
4 suppliers15 claims2,310 services$0.58 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
8 suppliers53 claims8,670 services$0.18 avg. paid by Medicare
Mycophenolic acid, oral, 180 mg J7518
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers43 claims5,580 services$0.96 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GULNAR PITTS APRN
Nurse Practitioner (Family)
4301 W MARKHAM ST # 520-4
LITTLE ROCK, AR 72205
Pulaski County (501) 686-6640
HOREB ANTONIO CANO MD
Surgery
4301 W MARKHAM ST # 520-4
LITTLE ROCK, AR 72205
Pulaski County (501) 686-8000
JACQUELINE MARIE JOHNSON NP-C
Nurse Practitioner (Family)
4301 W MARKHAM ST # 520-4
LITTLE ROCK, AR 72205
Pulaski County (501) 686-8790
DR. JOHN RICHARD MONTGOMERY MD, MSC
Surgery
4301 W MARKHAM ST # 520-4
LITTLE ROCK, AR 72205
Pulaski County (501) 686-8000
MR. TSUKASA NAKAMURA M.D., PH.D.
Surgery
4301 W MARKHAM ST # 520-4
LITTLE ROCK, AR 72205
Pulaski County (501) 686-8000
LASHARON CHARDAI TUBBS APRN
Nurse Practitioner (Family)
4301 W MARKHAM ST # 520-4
LITTLE ROCK, AR 72205
Pulaski County (501) 686-6640

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 Katrena Gordon's NPI number?

The NPI number for Katrena Gordon is 1952769614. It was assigned to this individual provider in the NPPES registry on February 9, 2016. The provider is also known as Katrena L Wilson Np.

Where is Katrena Gordon located?

Katrena Gordon practices at 4301 W Markham St # 520-4, Little Rock, AR 72205. The listed phone number is (501) 686-6644.

What is Katrena Gordon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Katrena Gordon enrolled in Medicare?

Yes. Katrena 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 organizations bill Medicare for Katrena Gordon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katrena Gordon reassigns Medicare benefits to 3 organizations: University Of Arkansas For Medical Sciences (Little Rock, AR), Baptist Health (Little Rock, AR) and Southeast Arkansas Hospitalists, LLP (Pine Bluff, AR). Each 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 Katrena Gordon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Katrena Gordon accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Katrena 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 Katrena Gordon was last updated on June 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.