TIFFANY DAWN GORDON NP
NPI 1992424675
Nurse Practitioner - Family in Le Sueur, MN
About Tiffany Dawn Gordon Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TIFFANY DAWN GORDON NP (NPI 1992424675) is an individual family provider in Le Sueur, Minnesota, licensed in Minnesota (9339) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tiffany Dawn Gordon Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Tiffany Gordon reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Le Sueur, MN 56058
- Reassigned Medicare billing, Minnesota enrollment
- 201 clinicians in this Medicare group
Arlington, MN 55307
- Reassigned Medicare billing, Minnesota enrollment
- 229 clinicians in this Medicare group
Waconia, MN 55387
- Reassigned Medicare billing, Minnesota enrollment
- 581 clinicians in this Medicare group
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 56058 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Tiffany Gordon's NPI number?
The NPI number for Tiffany Gordon is 1992424675. It was assigned to this individual provider in the NPPES registry on August 25, 2022.
Where is Tiffany Gordon located?
Tiffany Gordon practices at 625 S 4th St Ste A, Le Sueur, MN 56058. The listed phone number is (507) 593-5920.
What is Tiffany Gordon's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Tiffany Gordon enrolled in Medicare?
Yes. Tiffany Gordon is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Tiffany Gordon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tiffany Gordon reassigns Medicare benefits to 3 organizations: Minnesota Valley Health Center Inc (Le Sueur, MN), Sibley Medical Center (Arlington, MN) and Ridgeview Medical Center (Waconia, MN). 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 Tiffany Gordon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tiffany Gordon accept?
Health plans from HealthPartners list Tiffany 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 Tiffany Gordon was last updated on August 25, 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.
# Tiffany Dawn Gordon, NP · NPI 1992424675
Family physician in Le Sueur, Minnesota. Individual provider, active in the CMS NPPES registry since August 25, 2022.
## Identity
- **NPI:** 1992424675 (Entity type: Individual)
- **Enumerated:** August 25, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 9339 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 625 S 4TH ST STE A, Le Sueur, MN 56058-2203
- **Phone:** (507) 593-5920
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Minnesota Valley Health Center Inc (NPI 1215097902, Le Sueur, MN); Sibley Medical Center (NPI 1740240225, Arlington, MN); Ridgeview Medical Center (NPI 1275608457, Waconia, MN) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 25, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1992424675) · Data from the CMS NPPES public registry.