JONATHAN EDWARD GORDY (NP) – Family Nurse Practitioner, NPI 1033637509

JONATHAN EDWARD GORDY (NP) is a healthcare provider. based in St petersburg, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. ARNP9492359 (FL). The NPI Number for JONATHAN EDWARD GORDY (NP) is 1033637509

Main info

Male
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
JONATHAN EDWARD GORDY (NP)
NPI
1033637509
Phone
(727) 553-7300
Address
603 7TH ST S STE 360
Enumeration Date
6 September 2017
Last Update Date
8 August 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7275537300
Graduation Year
2017 (9 years ago)
PAC ID
3072870955
Group Practice PAC ID
1658433883
Professional Enrollment ID
I20181102000284
Address ID
FL337014814ST701XXSXXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

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Provider Addresses for JONATHAN EDWARD GORDY (NP)

  • 603 7TH ST S STE 360

    ST PETERSBURG, FL 337014732

    Phone: (727) 553-7300

    Type: Mailing

  • Bayfront Health Saint Petersburg, 701, 6th Street South, Roser Park, Saint Petersburg, Pinellas County, Florida, 33701, United States

    ST PETERSBURG, FL 33701

    Phone: (727) 823-1234

    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: 2018-11-02

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
I20181102000284INurse PractitionerFLTBD

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
99284Emergency department visit with moderate level of medical decision making111111$0
99285Emergency department visit with high level of medical decision making109109$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only2727$0
99283Emergency department visit with low level of medical decision making2723$0
12002Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.6-7.5 cm1515$0
View full utilization report →

Insurance plans in this area (ZIP 33701)

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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: 1658433883View full group profile
NameSpecialtyState
Emergency MedicineFL
Emergency MedicineCA
Emergency MedicineMA
Emergency MedicineFL
Emergency MedicineFL
Emergency MedicineFL
Nurse PractitionerFL
-FL
-FL
Emergency MedicineFL

Reviews

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Frequently asked questions

What federal number belongs to JONATHAN EDWARD GORDY (NP)?
The federal identifier for JONATHAN EDWARD GORDY (NP) is NPI 1033637509.
Does this profile mean JONATHAN EDWARD GORDY (NP) is currently active?
Yes — JONATHAN EDWARD GORDY (NP) appears active in the national provider directory.
What kind of provider is JONATHAN EDWARD GORDY (NP)?
The page reflects Family Nurse Practitioner for JONATHAN EDWARD GORDY (NP). Clinical services aligned with this taxonomy classification.
What location metadata exists for JONATHAN EDWARD GORDY (NP)?
The page summarizes St Petersburg, Florida for JONATHAN EDWARD GORDY (NP); expand the address list for detail.
How can I contact JONATHAN EDWARD GORDY (NP)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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