DOMINIQUE S GORDON (FNP-C, PMHNP-BC) – Family Nurse Practitioner, NPI 1982204178
Family Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DOMINIQUE S GORDON (FNP-C, PMHNP-BC)
1223 Gateway Dr Ste 1C
Melbourne, FL 329012607
Phone: (321) 728-6072
Fax: (321) 205-0113
Type: Location
2861 EMERSON DR SE
PALM BAY, FL 329095254
Phone: (321) 557-3065
Type: Mailing
3425 Bayside Lakes Blvd SE Ste 103
Palm Bay, FL 329096867
Phone: (321) 557-3065
Type: Location
720 E NEW HAVEN AVE STE 11
MELBOURNE, FL 329015474
Phone: (321) 724-4545
Type: Mailing
3300 S FISKE BLVD
ROCKLEDGE, FL 329554306
Phone: (321) 728-6072
Type: Mailing
7000 SPYGLASS CT STE 220
VIERA, FL 329407948
Phone: (321) 728-6072
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $347.
Total Amount is formed as General ($347) + Research ($0) + Ownership ($0) = $347.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($120).
Total Amount
$347
General + Research + Ownership
Payments
12
Total payment records
General Amount
$347
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2022-01-06
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220106002382 | I | Nurse Practitioner | FL | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 1,329 | 279 | $0 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 693 | 225 | $0 |
| 99497 | Advance care planning, first 30 minutes | 17 | 17 | $0 |
| 99347 | Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes | 15 | 11 | $0 |
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 15 | 12 | $0 |
Insurance plans in this area (ZIP 32901)
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