MRS. JENNIFER D GORDON (FNP) – Family Nurse Practitioner, NPI 1750765673

MRS. JENNIFER D GORDON (FNP) is a healthcare provider. based in Marshall, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 3015411 (KY). The NPI Number for MRS. JENNIFER D GORDON (FNP) is 1750765673

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
MRS. JENNIFER D GORDON (FNP)
NPI
1750765673
Phone
(903) 927-3782
Address
PO BOX 1326
Enumeration Date
10 July 2015
Last Update Date
5 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5028397246
Graduation Year
2015 (11 years ago)
PAC ID
2961704895
Group Practice PAC ID
1153406301
Professional Enrollment ID
I20230620001469
Address ID
KY403421215LA331XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness85
Years active:10State licenses:1Digital endpointsOther names

3,410 NURSE PRACTITIONER in AR

Provider Addresses for MRS. JENNIFER D GORDON (FNP)

  • PO BOX 1326

    MARSHALL, TX 756711326

    Phone: (903) 927-3782

    Fax: (903) 927-1764

    Type: Mailing

  • 1205 E 35TH ST

    TEXARKANA, AR 718542746

    Phone: (870) 216-0080

    Fax: (870) 216-0096

    Type: Location

  • 1101 BEAUMONT CENTRE LN

    LEXINGTON, KY 405131758

    Phone: (606) 510-7778

    Type: Mailing

  • 331 S MAIN ST

    LAWRENCEBURG, KY 403421215

    Phone: (502) 839-7246

    Type: Location

  • 92 PLAZA DR

    LAWRENCEBURG, KY 403429056

    Phone: (502) 839-3805

    Fax: (502) 839-3806

    Type: Location

  • 1075 E Lexington Ave

    Danville, KY 404221766

    Phone: (859) 712-2041

    Fax: (502) 839-3806

    Type: Location

  • 1064 N College St

    Harrodsburg, KY 403302208

    Phone: (859) 734-3057

    Fax: (502) 839-3806

    Type: Location

  • PO BOX 195

    SALVISA, KY 403720195

    Phone: (502) 839-3805

    Fax: (502) 839-3806

    Type: Mailing

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: 2023-06-20

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
I20230620001469INurse 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
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes1811$0
View full utilization report →

Insurance plans in this area (ZIP 75671)

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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: 1153406301View full group profile
NameSpecialtyState
Family Practice, Emergency MedicineKY
Nurse PractitionerFL
-KY
Nurse PractitionerKY
-KY
Nurse PractitionerKY
-KY
-KY
Nurse PractitionerKY
Nurse PractitionerKY

Reviews

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Frequently asked questions

What federal number belongs to MRS. JENNIFER D GORDON (FNP)?
The federal identifier for MRS. JENNIFER D GORDON (FNP) is NPI 1750765673.
Is MRS. JENNIFER D GORDON (FNP) active in the national directory?
MRS. JENNIFER D GORDON (FNP)'s public NPI profile is in an active state.
What kind of provider is MRS. JENNIFER D GORDON (FNP)?
The page reflects Family Nurse Practitioner for MRS. JENNIFER D GORDON (FNP). Clinical services aligned with this taxonomy classification.
What location metadata exists for MRS. JENNIFER D GORDON (FNP)?
The page summarizes Marshall, Texas for MRS. JENNIFER D GORDON (FNP); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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