MR. GORDON ADDO (FNP-C) – Family Nurse Practitioner, NPI 1124597661
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MR. GORDON ADDO (FNP-C)
2840 SHADOWBRIAR DR APT 619
HOUSTON, TX 770773279
Phone: (973) 309-2947
Type: Mailing
10447 Bailey Rd Ste 170
Manvel, TX 775780109
Phone: (281) 692-9770
Type: Location
2002 Holcombe Blvd
Houston, TX 770304211
Phone: (713) 791-1414
Type: Location
25801, Hempstead Highway, Cypress, Harris County, Texas, 77429, United States
CYPRESS, TX 77429
Phone: (281) 377-8664
Type: Location
1759 GRAY HAWK DR
MISSOURI CITY, TX 774894405
Phone: (973) 309-2947
Type: Mailing
500 W ANNANDALE RD
FALLS CHURCH, VA 220464205
Phone: (703) 521-6662
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: 2024-02-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190311000331 | I | Nurse Practitioner | TX | TBD |
| I20231219002363 | I | Nurse Practitioner | DC | TBD |
| I20240124004142 | I | Nurse Practitioner | MD | TBD |
| I20240221000454 | I | Nurse Practitioner | VA | TBD |
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.
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 77077)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | TX | |
| Internal Medicine | TX | |
| Nurse Practitioner | TX | |
| Family Practice | TX | |
| Nurse Practitioner | TX | |
| - | TX | |
| - | TX | |
| Internal Medicine | TX | |
| - | TX | |
| Family Practice | TX |
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