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Active NPI 1780103143 Individual Practitioner Female Practitioner

Amanda B Gordon , FNP

Nurse Practitioner • Saint Louis, MO

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Amanda Gordon, FNP is a certified Nurse Practitioner practicing in Saint Louis, MO. With approximately 10 years of clinical experience since completing medical education in 2016, Amanda Gordon delivers high-quality medical care to the local community at 30 RONNIES PLZ.

Amanda Gordon maintains professional affiliations with Ssm Health Care St Louis, Ssm Medical Group Inc, Dean Health Systems Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

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

Practice Location & Contact Primary Location

Practice Address

30 Ronnies Plz

Saint Louis, MO 631263552

Telephone 3149896807
Associated Practice Facility / Clinic
🏢 Saint Medical Group, Llc Facility NPI 1851971550

Medicare Profile & Education

Medical School

Other

Graduation Year

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Saint Louis, MO

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
10 Yrs -1.6 yrs vs City Avg
City Avg: 11.6 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
442 Specialists

Practicing in Saint Louis, MO (1750 Statewide)

Telehealth Adoption Rate
14.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
68.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gordon (10 Years) 10 Yrs
Saint Louis Specialty Average (11.6 Years) 11.6 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
68 65 $150.98 $54.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
18 18 $234.88 $67.24

Medical Specialties & State Licenses

CMS Verified: 2024-06-06
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MO 2017007862

(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.

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

State License WI 14987

(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.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License MO 2017007862

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1780103143 (WI)

Hospital & Practice Group Affiliations

Dean Health Systems Inc

1821 S Stoughton Rd, Madison, WI 537162257

Phone: 6082606000

Ssm Medical Group Inc

30 Ronnies Plz, Saint Louis, MO 631263552

Phone: 3147485800

Ssm Health Care St Louis

2341 S Brentwood Blvd, Saint Louis, MO 631442033

Phone: 3149638100

Secondary Practice Locations

1718 Catlin Dr

Barnhart, MO 630121277

Phone: 8447667200

1821 S Stoughton Rd

Madison, WI 537162257

Phone: 3149896807

Practice Associates & Co-Workers

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

3 Associated Practitioners
Jill Cacciabando , APNP

Nurse Practitioner

NPI 1356378467

Advanced Practice Nurse Prescriber

Kristin Grossman , FNP-C

Nurse Practitioner

NPI 1861884264

Family Nurse Practitioner (Certified)

Katie Haas , FNP-BC

Nurse Practitioner - Family

NPI 1912558446

Family Nurse Practitioner (Board Certified)

Career & Practice History Timeline

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

10 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 06, 2024

Nurse Practitioner (License #14987 in WI)

📍
Updated Practice Location February 01, 2024

Registered at 30 RONNIES PLZ, SAINT LOUIS, MO 631263552 (Tel: 3149896807)

📍
Updated Business Mailing Address October 22, 2020

Registered at PO BOX 955534, SAINT LOUIS, MO 631955534

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 04, 2019

Nurse Practitioner (License #2017007862 in MO)

NPI Profile Active September 15, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location September 15, 2017

Registered at 1718 CATLIN DR, BARNHART, MO 630121277 (Tel: 8447667200)

📍
Updated Business Mailing Address September 15, 2017

Registered at 615 ELM ST, HILLSBORO, MO 630504324 (Tel: 3146624337)

👤
Provider Name / Credentials Updated September 15, 2017

Recorded as AMANDA GORDON, FNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 15, 2017

Nurse Practitioner (License #2017007862 in MO)

🟢
Initial NPI Registration & Enumeration September 15, 2017

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: 1780103143
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 15, 2017
Last Update: June 06, 2024
Sole Proprietor: Yes

Mailing Address

Po Box 955534

Saint Louis, MO 631955534

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.