AMY D'ANN GORDON (ACNP) – Acute Care Nurse Practitioner, NPI 1164798989

AMY D'ANN GORDON (ACNP) is a healthcare provider. based in Lubbock, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials ACNP. They hold a License No. 632065 (TX). The NPI Number for AMY D'ANN GORDON (ACNP) is 1164798989

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
AMY D'ANN GORDON (ACNP)
NPI
1164798989
Phone
(806) 725-5844
Address
3420 22ND PL
Enumeration Date
27 March 2012
Last Update Date
15 April 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2011 (15 years ago)
PAC ID
0648436212
Group Practice PAC ID
6901889393
Professional Enrollment ID
I20120725001052
Address ID
TX794101234LU3506XSTXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for AMY D'ANN GORDON (ACNP)

  • 3420 22ND PL

    LUBBOCK, TX 794101314

    Phone: (806) 725-5844

    Fax: (806) 723-6532

    Type: Mailing

  • 3506 21ST ST

    SUITE 607

    LUBBOCK, TX 794101212

    Phone: (806) 725-4134

    Fax: (806) 723-7803

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 67 Open Payments records for all available years, with a total value of $1,766.

Total Amount is formed as General ($1,766) + Research ($0) + Ownership ($0) = $1,766.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($525).

Total Amount

$1,766

General + Research + Ownership

Payments

67

Total payment records

General Amount

$1,766

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2012-07-25

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
I20120725001052INurse PractitionerTXTBD

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 minutes12074$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count2924$0
36415Insertion of needle into vein for collection of blood sample2823$0
84550Uric acid level, blood2723$0
80069Kidney function blood test panel2622$0
View full utilization report →

Insurance plans in this area (ZIP 79410)

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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: 6901889393View full group profile

Reviews

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No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the registry number for AMY D'ANN GORDON (ACNP)?
The registry entry for AMY D'ANN GORDON (ACNP) shows NPI 1164798989.
Does the public listing show AMY D'ANN GORDON (ACNP) as active?
AMY D'ANN GORDON (ACNP)'s NPI record reflects an active status in NPPES.
How should patients interpret AMY D'ANN GORDON (ACNP)'s specialty?
The extract shows Acute Care Nurse Practitioner for AMY D'ANN GORDON (ACNP). Clinical services aligned with this taxonomy classification.
Which community is linked to AMY D'ANN GORDON (ACNP)?
AMY D'ANN GORDON (ACNP) shows a connection to Lubbock, Texas in registry-derived data.
Why is information missing for AMY D'ANN GORDON (ACNP)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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