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Active NPI 1275175291 Individual Practitioner Female Practitioner

Hailey M Gordon , PA-C

Nurse Practitioner • Meridian, ID

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Hailey Gordon, PA-C is a certified Nurse Practitioner practicing in Meridian, ID. With approximately 7 years of clinical experience since completing medical education in 2019, Hailey Gordon delivers high-quality medical care to the local community at 260 S TEN MILE RD.

Hailey Gordon is affiliated with St Lukes Clinic-Treasure Valley Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

260 S Ten Mile Rd

Meridian, ID 836426100

Telephone 2088092872
Associated Practice Facility / Clinic
🏢 Alliance Medical Group, Llc Facility NPI 1306348602

Medicare Profile & Education

Medical School

Other

Graduation Year

2019

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Meridian, ID

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
7 Yrs -1.0 yrs vs City Avg
City Avg: 8.0 Yrs
State Avg: 9.9 Yrs
Regional Practice Density
62 Specialists

Practicing in Meridian, ID (602 Statewide)

Telehealth Adoption Rate
12.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
65.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gordon (7 Years) 7 Yrs
Meridian Specialty Average (8.0 Years) 8.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
155 134 $147.98 $50.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
24 22 $217.08 $76.23
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
15 15 $79.00 $27.62

Medical Specialties & State Licenses

CMS Verified: 2021-07-14
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License ID 53504

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

St Lukes Clinic-Treasure Valley Llc

3301 N Sawgrass Way, Boise, ID 837044493

Phone: 2083750862

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Becky Wells , PA-C

Physician Assistant - Medical

NPI 1780617811

Physician Assistant (Certified)

Noah Chance

Physician Assistant

NPI 1831663442
Samantha Verner , PA-C

Physician Assistant - Medical

NPI 1851957005

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Practice Location July 14, 2021

Registered at 260 S TEN MILE RD, MERIDIAN, ID 836426100 (Tel: 2088092872)

NPI Profile Active October 10, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location October 10, 2019

Registered at 6052 W STATE ST, BOISE, ID 837032739 (Tel: 2083447799)

📍
Updated Business Mailing Address October 10, 2019

Registered at PO BOX 191050, BOISE, ID 837191050 (Tel: 2089556500)

👤
Provider Name / Credentials Updated October 10, 2019

Recorded as HAILEY GORDON, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 10, 2019

Nurse Practitioner (License #53504 in ID)

🟢
Initial NPI Registration & Enumeration October 10, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1275175291
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 10, 2019
Last Update: July 14, 2021
Sole Proprietor: No

Mailing Address

Po Box 191050

Boise, ID 837191050

Phone: 2089556500

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.