MELVA JEANNE GORDON (NURSE PRACTITIONER) – Family Nurse Practitioner, NPI 1750774725

MELVA JEANNE GORDON (NURSE PRACTITIONER) is a healthcare provider. based in Indialantic, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials NURSE PRACTITIONER. They hold a License No. RN.254002-COA1 (OH). The NPI Number for MELVA JEANNE GORDON (NURSE PRACTITIONER) is 1750774725

Main info

Female
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
MELVA JEANNE GORDON (NURSE PRACTITIONER)
NPI
1750774725
Phone
(740) 357-1505
Address
818 BRITTANY DRIVE
Enumeration Date
13 March 2015
Last Update Date
28 November 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3216224877
Graduation Year
2014 (12 years ago)
PAC ID
1557679768
Group Practice PAC ID
3476964438
Professional Enrollment ID
I20151007001501
Address ID
FL329407505ME3270XBLVD311
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:11State licenses:4Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for MELVA JEANNE GORDON (NURSE PRACTITIONER)

  • 818 BRITTANY DRIVE

    APT D

    INDIALANTIC, FL 329039477

    Phone: (740) 357-1505

    Type: Mailing

  • 1912 DOGWOOD RIDGE RD

    WHEELERSBURG, OH 456949477

    Phone: (740) 357-1505

    Type: Mailing

  • 2159 DOGWOOD RIDGE RD

    WHEELERSBURG, OH 456949044

    Phone: (740) 574-2558

    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: 2015-10-07

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
I20151007001501INurse 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
99350Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes13631$0
99493Follow-up psychiatric collaborative care management, subsequent calendar month, first 60 minutes6131$0
99492Initial psychiatric collaborative care management, first calendar month, first 70 minutes4242$0
View full utilization report →

Insurance plans in this area (ZIP 32903)

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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: 3476964438View full group profile
NameSpecialtyState
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

Is there an official ID for MELVA JEANNE GORDON (NURSE PRACTITIONER) in U.S. healthcare records?
The official identifier for MELVA JEANNE GORDON (NURSE PRACTITIONER) is NPI 1750774725.
Is MELVA JEANNE GORDON (NURSE PRACTITIONER) shown as active in public data?
Registry records indicate MELVA JEANNE GORDON (NURSE PRACTITIONER) maintains an active NPI.
What clinical focus is listed for MELVA JEANNE GORDON (NURSE PRACTITIONER)?
At a glance, MELVA JEANNE GORDON (NURSE PRACTITIONER) is tied to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MELVA JEANNE GORDON (NURSE PRACTITIONER) associated with Indialantic?
Public fields place MELVA JEANNE GORDON (NURSE PRACTITIONER) around Indialantic, Florida. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for MELVA JEANNE GORDON (NURSE PRACTITIONER) is noted as March 13, 2015 where the registry provides it.

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