MRS. DANIELLE ALEXIS GORDON (FNP) – Family Nurse Practitioner, NPI 1780148056
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
16,360 NURSE PRACTITIONER in CA
Provider Addresses for MRS. DANIELLE ALEXIS GORDON (FNP)
5952 El Cajon Blvd
San Diego, CA 921153828
Phone: (619) 229-8030
Type: Location
1244, El Cortez Court, Chula Vista, San Diego County, California, 91910, United States
CHULA VISTA, CA 919108186
Phone: (904) 631-2880
Type: Mailing
705, Palm Avenue, Imperial Beach, San Diego County, California, 91932, United States
IMPERIAL BEACH, CA 919321229
Phone: (619) 423-3774
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $176.
Total Amount is formed as General ($176) + Research ($0) + Ownership ($0) = $176.
Last reported payment date: 2024-10-22 • Largest payer in this snapshot: Lilly USA, LLC ($44).
Total Amount
$176
General + Research + Ownership
Payments
8
Total payment records
General Amount
$176
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $44 |
| Astellas Pharma US Inc | $32 |
| Abbott Laboratories | $24 |
| Philips North America LLC | $21 |
| SI-BONE, INC. | $20 |
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: 2020-12-21
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20201221002498 | I | Nurse Practitioner | CA | TBD |
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.
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 92115)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | CA | |
| Nurse Practitioner | CA |
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