Kim Gordon, RN, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Neptune City, NJ

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Kim Gordon, RN, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Neptune City, New Jersey. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Jersey Shore Anesthesiology Associates Pa, New Jersey Healthcare Specialists Pc and her current practice location is 1945 Nj-33, Neptune City, New Jersey. You can reach out to her office (for appointments etc.) via phone at (732) 775-5500.

Kim Gordon is licensed to practice in New Jersey (license number 26NJ00686800) 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 1003269754.

Contact Information

Kim Gordon, RN, CRNA
1945 Nj-33,
Neptune City, NJ 07753
(732) 775-5500
Not Available

Map and Direction




Provider's Profile

Full NameKim Gordon
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience8 Years
Location1945 Nj-33, Neptune City, New Jersey
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:
  • Kim Gordon graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1003269754
  • Provider Enumeration Date: 07/18/2016
  • Last Update Date: 04/11/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4082997622
  • Enrollment ID: I20170206002702

Medical Identifiers

Medical identifiers for Kim Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003269754NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 26NR15879000 (New Jersey)Secondary
367500000XNurse Anesthetist, Certified Registered 26NJ00686800 (New Jersey)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Community Medical CenterToms river, NJHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Jersey Shore Anesthesiology Associates Pa983000305276
New Jersey Healthcare Specialists Pc2668385253554

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. Kim Gordon allows following entities to bill medicare on her behalf.
Entity NameNew Jersey Healthcare Specialists Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174585780
PECOS PAC ID: 2668385253
Enrollment ID: O20031110000555
Entity NameJersey Shore Anesthesiology Associates Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538190764
PECOS PAC ID: 9830003052
Enrollment ID: O20031113000003
Entity NameRwjbh Observation Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760095806
PECOS PAC ID: 5193137503
Enrollment ID: O20201209000008

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. Kim 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
Kim Gordon, RN, CRNA
76 Ridge Ter,
Neptune City, NJ 07753-6614

Ph: (732) 642-0022		Kim Gordon, RN, CRNA
1945 Nj-33,
Neptune City, NJ 07753

Ph: (732) 775-5500

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Neptune City, NJ

Daniel Richard D'silva, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1945 Route 33, Neptune City, NJ 07753
Phone: 732-775-5500    

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.