MRS. MANDY DAWN GORDON (APN) – Nurse Practitioner, NPI 1497195598

MRS. MANDY DAWN GORDON (APN) is a healthcare provider. based in Jonesboro, Arkansas. specializing in NURSE PRACTITIONER. They hold the professional credentials APN. They hold a License No. A003908 (AR). The NPI Number for MRS. MANDY DAWN GORDON (APN) is 1497195598

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
MRS. MANDY DAWN GORDON (APN)
NPI
1497195598
Phone
(870) 932-1198
Address
300 CARSON ST
Enumeration Date
3 July 2013
Last Update Date
3 July 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8702078210
Graduation Year
2013 (13 years ago)
PAC ID
2668608613
Group Practice PAC ID
2769637222
Professional Enrollment ID
I20131121000279
Address ID
AR724013119JO225XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

3,410 NURSE PRACTITIONER in AR

Provider Addresses for MRS. MANDY DAWN GORDON (APN)

  • 300 CARSON ST

    JONESBORO, AR 724013104

    Phone: (870) 932-1198

    Fax: (870) 910-7726

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 243 Open Payments records for all available years, with a total value of $5,687.

Total Amount is formed as General ($5,687) + Research ($0) + Ownership ($0) = $5,687.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Daiichi Sankyo Inc. ($1,141).

Total Amount

$5,687

General + Research + Ownership

Payments

243

Total payment records

General Amount

$5,687

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2013-11-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20131121000279INurse PractitionerARTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 72401)

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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: 2769637222View full group profile
NameSpecialtyState
Radiation OncologyAR
H E M A T O L O G YAR
Gynecological Oncology, Obstetrics/GynecologyTN
-TN
-AR
Physician AssistantAR
Nurse PractitionerAR
Nurse PractitionerAR
Radiation OncologyAR
H E M A T O L O G Y/ O N C O L O G YAR

Reviews

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Frequently asked questions

What identifier follows MRS. MANDY DAWN GORDON (APN) across health systems?
The NPI 1497195598 uniquely identifies MRS. MANDY DAWN GORDON (APN) in U.S. healthcare data.
Should I treat MRS. MANDY DAWN GORDON (APN) as an active provider?
Patients and plans typically see MRS. MANDY DAWN GORDON (APN) as active in the national extract.
What services align with MRS. MANDY DAWN GORDON (APN)'s listing?
MRS. MANDY DAWN GORDON (APN)'s public classification highlights Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What city is tied to MRS. MANDY DAWN GORDON (APN)?
The directory associates MRS. MANDY DAWN GORDON (APN) with Jonesboro, Arkansas. Check all listed addresses for suites or satellite offices.
Who maintains MRS. MANDY DAWN GORDON (APN)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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