KHAREENA L GORDON (CRNA) – Certified Registered Nurse Anesthetist, NPI 1356663397

KHAREENA L GORDON (CRNA) is a healthcare provider. based in Detroit, Michigan. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 4704215392 (MI). The NPI Number for KHAREENA L GORDON (CRNA) is 1356663397

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
KHAREENA L GORDON (CRNA)
NPI
1356663397
Phone
(313) 966-6933
Address
PO BOX 67000
Enumeration Date
18 February 2010
Last Update Date
27 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8102759152
Graduation Year
2009 (17 years ago)
PAC ID
6204964109
Group Practice PAC ID
0143538769
Professional Enrollment ID
I20100513001028
Address ID
MI485072677FL4800XSTXX415
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:16State licenses:1Digital endpointsOther names

2,692 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MI

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Provider Addresses for KHAREENA L GORDON (CRNA)

  • PO BOX 67000

    DEPT 203401

    DETROIT, MI 482672034

    Phone: (313) 966-6933

    Type: Mailing

  • DMC Sinai-Grace Hospital, 6071, West Outer Drive, Northwest Detroit, Detroit, Wayne County, Michigan, 48235, United States

    DETROIT, MI 482352624

    Phone: (313) 966-6933

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $130.

Total Amount is formed as General ($130) + Research ($0) + Ownership ($0) = $130.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($52).

Total Amount

$130

General + Research + Ownership

Payments

7

Total payment records

General Amount

$130

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2010-05-13

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
I20100513001028ICertified Registered Nurse Anesthetist (Crna)MITBD

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
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2828$0
00811Anesthesia for other procedure on large bowel using an endoscope1616$0
00813Anesthesia for procedure on small and large bowel using an endoscope1313$0
00812Anesthesia for exam of colon using an endoscope1212$0
View full utilization report →

Insurance plans in this area (ZIP 48267)

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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: 0143538769View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)IL
Anesthesiology AssistantMO
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI

Reviews

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Frequently asked questions

What NPI should I save for KHAREENA L GORDON (CRNA)?
Save NPI 1356663397 if you need a stable reference for KHAREENA L GORDON (CRNA).
Is KHAREENA L GORDON (CRNA) currently active in the NPI registry?
CMS-published data lists KHAREENA L GORDON (CRNA) as an active registrant.
What kind of provider is KHAREENA L GORDON (CRNA)?
The page reflects Certified Registered Nurse Anesthetist for KHAREENA L GORDON (CRNA). Clinical services aligned with this taxonomy classification.
Where is KHAREENA L GORDON (CRNA)'s primary listing?
We display Detroit, Michigan because that is what the record indicates for KHAREENA L GORDON (CRNA).
Is KHAREENA L GORDON (CRNA) a real provider?
This page reflects official NPPES data for NPI 1356663397. Always confirm identity and privileges with the practice and licensing boards.

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