JENNIFER GORDON (APRN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1235511072

JENNIFER GORDON (APRN) is a healthcare provider. based in Louisville, Kentucky. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 3009312 (KY). The NPI Number for JENNIFER GORDON (APRN) is 1235511072

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER GORDON (APRN)
NPI
1235511072
Phone
(502) 327-9100
Address
10101 LINN STATION RD
Enumeration Date
28 June 2015
Last Update Date
31 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
50236823482223
Graduation Year
2014 (12 years ago)
PAC ID
1759693500
Group Practice PAC ID
0840180816
Professional Enrollment ID
I20150707003377
Address ID
KY402163987LO4501XWAYX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness85
Years active:10State licenses:1Digital endpointsOther names

7,347 NURSE PRACTITIONER in KY

Provider Addresses for JENNIFER GORDON (APRN)

  • 10101 LINN STATION RD

    LOUISVILLE, KY 402233848

    Phone: (502) 327-9100

    Type: Mailing

  • 4011 GARDINER POINT DR STE 101

    LOUISVILLE, KY 402131988

    Phone: (502) 451-5121

    Fax: (502) 451-5125

    Type: Location

  • 140 Whittington Pkwy

    Suite 100

    Louisville, KY 402224930

    Phone: (502) 327-9100

    Type: Location

  • 130 S Joe B Hall Ave

    Shepherdsville, KY 401656009

    Phone: (502) 589-8600

    Type: Location

  • 4011 Gardiner Point Dr Ste 101

    Louisville, KY 402131988

    Phone: (502) 451-5121

    Fax: (502) 451-5125

    Type: Location

  • 4501 LOUISE UNDERWOOD WAY

    LOUISVILLE, KY 402163987

    Phone: (502) 368-2340

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 27 Open Payments records for all available years, with a total value of $1,427.

Total Amount is formed as General ($1,427) + Research ($0) + Ownership ($0) = $1,427.

Last reported payment date: 2024-11-11 • Largest payer in this snapshot: Alkermes, Inc. ($269).

Total Amount

$1,427

General + Research + Ownership

Payments

27

Total payment records

General Amount

$1,427

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-11

Latest reported date

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: 2015-07-07

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
I20150707003377INurse PractitionerKYTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes18050$0
99213Established patient office or other outpatient visit, 20-29 minutes8844$0
99212Established patient office or other outpatient visit, 10-19 minutes3919$0
36415Insertion of needle into vein for collection of blood sample1411$0
View full utilization report →

Insurance plans in this area (ZIP 40223)

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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: 0840180816View full group profile
NameSpecialtyState
Clinical PsychologistKY
-KY
Endocrinology, Internal MedicineKY
O P H T H A L M O L O G YKY
D E N T I S TFL
Nurse PractitionerKY
Occupational Therapist In Private PracticeIN
N E U R O L O G YKY
Nurse PractitionerKY
Registered Dietitian Or Nutrition ProfessionalKY

Reviews

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Frequently asked questions

How do I look up JENNIFER GORDON (APRN) by NPI?
Use NPI 1235511072 when you need to reference JENNIFER GORDON (APRN) in forms, claims, or directories.
Is JENNIFER GORDON (APRN)'s NPI currently valid?
The extract we use shows JENNIFER GORDON (APRN) as active.
What does JENNIFER GORDON (APRN) treat or focus on?
Patients typically see JENNIFER GORDON (APRN) under the specialty Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is JENNIFER GORDON (APRN)'s primary listing?
We display Louisville, Kentucky because that is what the record indicates for JENNIFER GORDON (APRN).
How can I contact JENNIFER GORDON (APRN)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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