Mrs Stephanie Jo Gordon, ANP-BC - Medicare Nurse Practitioner in Minneapolis, MN

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Mrs Stephanie Jo Gordon, ANP-BC is a medicare enrolled "Nurse Practitioner - Adult Health" in Minneapolis, Minnesota. She graduated from nursing school in 2009 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice North Memorial Health Care, Associated Nephrology Consultants Pa and her current practice location is 4310 Nicollet Ave, Minneapolis, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 823-8001.

Mrs Stephanie Jo Gordon is licensed to practice in Minnesota (license number 2009006856) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1750513750.

Contact Information

Mrs Stephanie Jo Gordon, ANP-BC
4310 Nicollet Ave,
Minneapolis, MN 55409-2033
(612) 823-8001
Not Available

Map and Direction




Provider's Profile

Full NameMrs Stephanie Jo Gordon
GenderFemale
SpecialityNurse Practitioner
Experience15 Years
Location4310 Nicollet Ave, Minneapolis, Minnesota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Stephanie Jo Gordon graduated from nursing school in 2009
  NPI Data:
  • NPI Number: 1750513750
  • Provider Enumeration Date: 08/10/2009
  • Last Update Date: 08/10/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 2062559818
  • Enrollment ID: I20091027000558

Medical Identifiers

Medical identifiers for Mrs Stephanie Jo Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750513750NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health 2009006856 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
North Memorial HealthRobbinsdale, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
North Memorial Health Care0042123028474
Associated Nephrology Consultants Pa721400406814

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Stephanie Jo Gordon allows following entities to bill medicare on her behalf.
Entity NameHealtheast Woodwinds Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356309322
PECOS PAC ID: 9638082563
Enrollment ID: O20031107000110
Entity NameHealtheast Medical Research Institute
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639125503
PECOS PAC ID: 3971407636
Enrollment ID: O20031124000507
Entity NameHealtheast St Joseph's Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134186273
PECOS PAC ID: 2365348869
Enrollment ID: O20031208000245
Entity NameHealtheast St John's Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447218482
PECOS PAC ID: 9234035742
Enrollment ID: O20031208000320
Entity NameHealtheast Care System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194787465
PECOS PAC ID: 7214833763
Enrollment ID: O20031208000483
Entity NameNorth Memorial Health Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851344907
PECOS PAC ID: 0042123028
Enrollment ID: O20040122000470
Entity NameKidney Specialists Of Minnesota Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629010228
PECOS PAC ID: 5092616029
Enrollment ID: O20040407001085
Entity NameAssociated Nephrology Consultants Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104976158
PECOS PAC ID: 7214004068
Enrollment ID: O20090827000310

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Stephanie Jo Gordon is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Stephanie Jo Gordon, ANP-BC
3443 24th Ave S,
Minneapolis, MN 55406-2501

Ph: (612) 730-4634		Mrs Stephanie Jo Gordon, ANP-BC
4310 Nicollet Ave,
Minneapolis, MN 55409-2033

Ph: (612) 823-8001

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.