MR. STANLEY RICHARD GORDON (CRNA) – Certified Registered Nurse Anesthetist, NPI 1548295322

MR. STANLEY RICHARD GORDON (CRNA) is a healthcare provider. based in Grand bay, Alabama. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 051211 (AL). The NPI Number for MR. STANLEY RICHARD GORDON (CRNA) is 1548295322

Main info

Male
Sole Proprietor
27 Years Of Experience
Accepts Medicare Assignment
Name
MR. STANLEY RICHARD GORDON (CRNA)
NPI
1548295322
Phone
(251) 214-2384
Address
11960 WINDY OAKS DR E
Enumeration Date
11 July 2006
Last Update Date
10 February 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8509859180
Graduation Year
1999 (27 years ago)
PAC ID
4981694551
Group Practice PAC ID
3870921984
Professional Enrollment ID
I20230621002905
Address ID
KS678012270DO3001XAXXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,245 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in PA

Provider Addresses for MR. STANLEY RICHARD GORDON (CRNA)

  • 11960 WINDY OAKS DR E

    GRAND BAY, AL 365413125

    Phone: (251) 214-2384

    Fax: (251) 865-0098

    Type: Mailing

  • 2570 Haymaker Rd

    Monroeville, PA 151463513

    Phone: (412) 858-2843

    Fax: (412) 858-3190

    Type: Location

  • 5577 GIBSON RD

    THEODORE, AL 365824058

    Phone:

    Type: Mailing

  • 1301 BELLEVILLE AVE

    BREWTON, AL 364261306

    Phone: (251) 867-8061

    Type: Location

  • Forbes Hospital, 2570, Haymaker Road, Monroeville, Allegheny County, Pennsylvania, 15146, United States

    MONROEVILLE, PA 151463513

    Phone: (412) 858-2843

    Fax: (412) 858-3190

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-06-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040514001195ICertified Registered Nurse Anesthetist (Crna)ALTBD
I20141030001470ICertified Registered Nurse Anesthetist (Crna)ARTBD
I20221205000506ICertified Registered Nurse Anesthetist (Crna)MSTBD
I20230621002905ICertified Registered Nurse Anesthetist (Crna)KSTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00811Anesthesia for other procedure on large bowel using an endoscope2929$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1817$0
View full utilization report →

Insurance plans in this area (ZIP 36541)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3870921984View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)KS
Certified Registered Nurse Anesthetist (Crna)MO
-KS
Certified Registered Nurse Anesthetist (Crna)KS
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)KS
Certified Registered Nurse Anesthetist (Crna)KS
Certified Registered Nurse Anesthetist (Crna)OK
Certified Registered Nurse Anesthetist (Crna)OK
Certified Registered Nurse Anesthetist (Crna)KS

Reviews

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Frequently asked questions

Can I verify MR. STANLEY RICHARD GORDON (CRNA) with an NPI only?
You can start verification with NPI 1548295322 for MR. STANLEY RICHARD GORDON (CRNA), then check state licensing separately.
Is MR. STANLEY RICHARD GORDON (CRNA) still practicing?
MR. STANLEY RICHARD GORDON (CRNA) is currently listed as active in the public NPI registry.
What taxonomy line describes MR. STANLEY RICHARD GORDON (CRNA)?
For research purposes, treat MR. STANLEY RICHARD GORDON (CRNA) as Certified Registered Nurse Anesthetist in this dataset. Clinical services aligned with this taxonomy classification.
What area does MR. STANLEY RICHARD GORDON (CRNA) serve?
MR. STANLEY RICHARD GORDON (CRNA)'s listing highlights Grand Bay, Alabama; more addresses can appear in NPPES.
Is the information about MR. STANLEY RICHARD GORDON (CRNA) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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