STEVEN J GORT (AGACNP-BC) – Nurse Practitioner, NPI 1255957759

STEVEN J GORT (AGACNP-BC) is a healthcare provider. based in Apple valley, Minnesota. specializing in NURSE PRACTITIONER. They hold the professional credentials AGACNP-BC. They hold a License No. 218012-2 (MN). The NPI Number for STEVEN J GORT (AGACNP-BC) is 1255957759

Main info

Male
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
STEVEN J GORT (AGACNP-BC)
NPI
1255957759
Phone
(952) 818-4642
Address
128 CIMARRON RD
Enumeration Date
19 June 2020
Last Update Date
13 January 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7158385222
Graduation Year
2020 (6 years ago)
PAC ID
0042624645
Group Practice PAC ID
4385553627
Professional Enrollment ID
I20210121002699
Address ID
WI547016101EA733XXAVEX400

Contacts

Secure Messaging
sgort1373664@ehrdirect.mayoclinicmsg.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness85
Years active:5State licenses:3Other namesUpdated within 12 months

5,748 NURSE PRACTITIONER in MN

Provider Addresses for STEVEN J GORT (AGACNP-BC)

  • 128 CIMARRON RD

    APPLE VALLEY, MN 551249776

    Phone: (952) 818-4642

    Type: Mailing

  • 200 1ST ST SW

    ROCHESTER, MN 559050001

    Phone: (715) 838-5222

    Type: Mailing

  • 1400 BELLINGER ST

    EAU CLAIRE, WI 547035222

    Phone: (715) 838-5222

    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: 2021-01-21

PECOS data refreshed: 2026-06-15

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
I20210121002699INurse PractitionerWITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55124)

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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: 4385553627View full group profile

Reviews

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Frequently asked questions

Where can patients find STEVEN J GORT (AGACNP-BC)'s NPI?
You can confirm STEVEN J GORT (AGACNP-BC) with NPI 1255957759; it appears in the national provider directory.
Is STEVEN J GORT (AGACNP-BC)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is STEVEN J GORT (AGACNP-BC)?
The page reflects Nurse Practitioner for STEVEN J GORT (AGACNP-BC). Clinical services aligned with this taxonomy classification.
Where is STEVEN J GORT (AGACNP-BC)'s primary listing?
We display Apple Valley, Minnesota because that is what the record indicates for STEVEN J GORT (AGACNP-BC).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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