Kelly Marie Gordon, APRN - Medicare Nurse Practitioner in Weeki Wachee, FL

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Kelly Marie Gordon, APRN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Weeki Wachee, Florida. She graduated from nursing school in 2023 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Grow Healthcare Group Pa and her current practice location is 10220 Yale Ave, Weeki Wachee, Florida. You can reach out to her office (for appointments etc.) via phone at (352) 600-8822.

Kelly Marie Gordon is licensed to practice in Florida (license number 11007511) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1194349019.

Contact Information

Kelly Marie Gordon, APRN
10220 Yale Ave,
Weeki Wachee, FL 34613-8375
(352) 600-8822
(352) 600-8883

Map and Direction




Provider's Profile

Full NameKelly Marie Gordon
GenderFemale
SpecialityNurse Practitioner
Experience3 Years
Location10220 Yale Ave, Weeki Wachee, Florida
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kelly Marie Gordon graduated from nursing school in 2023
  NPI Data:
  • NPI Number: 1194349019
  • Provider Enumeration Date: 06/05/2020
  • Last Update Date: 09/11/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 8628488038
  • Enrollment ID: I20201112002836

Medical Identifiers

Medical identifiers for Kelly Marie Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194349019NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health ARNP.AP.70130802-NP (Washington)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 11007511 (Florida)Primary
363LP0808XNurse Practitioner - Psychiatric/mental Health C-RXN.0103332-C-NP (Colorado)Secondary
363LF0000XNurse Practitioner - Family APRN11007511 (Florida)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kelly Marie Gordon allows following entities to bill medicare on her behalf.
Entity NameMinuteclinic LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134191836
PECOS PAC ID: 6709850241
Enrollment ID: O20070217000007
Entity NameSimon Groseclose DC LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275073710
PECOS PAC ID: 3779850912
Enrollment ID: O20170518002111
Entity NameTotal Care Plus LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376069948
PECOS PAC ID: 6800132366
Enrollment ID: O20190104001280
Entity NameGrow Healthcare Group PA
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245845932
PECOS PAC ID: 3476961368
Enrollment ID: O20210414000053
Entity NameAll Family Walk-in Clinic LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558948455
PECOS PAC ID: 0345640249
Enrollment ID: O20210615001397
Entity NameAll Family Behavioral Health LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548972771
PECOS PAC ID: 0345613857
Enrollment ID: O20230303001543

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Marie Gordon is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kelly Marie Gordon, APRN
10220 Yale Ave,
Weeki Wachee, FL 34613-8375

Ph: (352) 600-8822		Kelly Marie Gordon, APRN
10220 Yale Ave,
Weeki Wachee, FL 34613-8375

Ph: (352) 600-8822

Reviews and Comments


Nurse Practitioner Nurses in Weeki Wachee, FL

Sheila Hope Ortega, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 8172 Chaucer Dr, Weeki Wachee, FL 34607
Phone: 352-653-1101    
Kathryn Lee Mazzella, PMHNP-BC
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 12316 Thrasher Ave, Weeki Wachee, FL 34614
Phone: 727-808-3032    
Dr. Alex B Bahadori, DNP, ARNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 10036 Whisper Ridge Trl, Weeki Wachee, FL 34613
Phone: 352-556-6228    
Osmer Luis Puerto Arias, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 10045 Cortez Blvd Ste 154, Weeki Wachee, FL 34613
Phone: 352-596-6114    Fax: 352-596-0784
Mr. Joshua L Wozniak, ARNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 10200 Yale Ave, Weeki Wachee, FL 34613
Phone: 352-597-1960    Fax: 352-597-9470
Ms. Elizabeth Emily Ballester, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 8172 Chaucer Dr, Weeki Wachee, FL 34607
Phone: 352-653-1101    Fax: 855-919-6122
Mr. Bryan Michael Stafford Sr., ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 8246 River Country Dr, Weeki Wachee, FL 34607
Phone: 352-684-8637    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.