Individual provider Active NPI

Keisha-Ann Gordon-Primus, FNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • St Petersburg, FL
National Provider Identifier
1093196537
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN9231746 Issued in FL
Practice address
7901 4TH St N Ste 300
St Petersburg, FL 33702-4399
Phone
(407) 863-4048
Fax
(407) 987-6560
NPI assigned
Jun 10, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN9231746 FL Primary
Family Nurse Practitioner 363LF0000X ARNP9231746 FL

Addresses

Primary practice location

7901 4TH St N Ste 300
St Petersburg, FL 33702-4399

Mailing address

7901 4TH St N Ste 300
St Petersburg, FL 33702-4399
Phone (407) 863-4048

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NY, TX, DC, CA5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20170221001332 FL Practitioner - Nurse Practitioner 2961786884 Reassigns benefits to 6 organizations
I20230518001192 NY Practitioner - Nurse Practitioner 2961786884 Reassigns benefits to 3 organizations
I20240923002991 TX Practitioner - Nurse Practitioner 2961786884 Reassigns benefits to 2 organizations
I20250917004763 DC Practitioner - Nurse Practitioner 2961786884 Reassigns benefits to 1 organization
I20251031000464 CA Practitioner - Nurse Practitioner 2961786884 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Author Health Professionals, PCGroup PAC ID 7416368949, 93 clinicians

Practice addresses (Care Compare)

2700 Post Oak Blvd
Suite 2100
Houston, TX 77056-5797
Phone (800) 423-4400

360 NW 27TH St
Office/Suite 08 109
Miami, FL 33127-1504
Phone (805) 807-3303

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP9231746FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Circle Medical Care Group PA CurrentSince May 2, 2025 Accepting new patients
Aldad Medical PC Psychiatric/Mental Health CurrentSince Mar 1, 2023 Accepting new patients
Circle Medical Care of New York PC CurrentSince Feb 1, 2025 Accepting new patients
Aldad Medical PC CurrentSince Mar 1, 2023 Accepting new patients
Circle Medical Care of California CurrentSince Jul 17, 2025 Accepting new patients
Brave Health Medical Group PA CurrentSince Aug 1, 2024 Accepting new patients
Aldad Medical PC CurrentSince Apr 1, 2023 Accepting new patients
Author Health Professionals, PC CurrentSince Dec 28, 2025 Accepting new patients
VMD Primary Providers Central Florida PLLC CurrentSince Dec 27, 2021 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Mar 2, 2024 Accepting new patients
Brave Health Inc. CurrentSince Aug 1, 2024 Accepting new patients
Physician Associates of Northern New Jersey, PC Past Accepting new patients
New York City Health and Hospitals Corporation Past Accepting new patients

Locations

415 N Crescent Dr
Ste 320
Beverly Hills, CA 90210
Phone (415) 510-2755

333 1st St
Ste A
San Francisco, CA 94105
Phone (312) 724-7441

200 W State Road 436
Ste 1020
Altamonte Springs, FL 32714

2820 NE 214th St
Ste 801
Miami, FL 33180
Phone (305) 204-9877

1951 NW 7th Ave
Fl 3
Miami, FL 33136
Phone (305) 297-4749

801 Brickell Ave
Fl 8
Miami, FL 33131
Phone (305) 871-4420

360 NW 27th St
#8109
Miami, FL 33127
Phone (805) 807-3303

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

5601 N Hiawassee Rd
Orlando, FL 32818
Phone (321) 294-0611

1060 Woodcock Rd
Ste 128
Orlando, FL 32803
Phone (346) 980-2725

400 N Tampa St
Fl 15
Tampa, FL 33602
Phone (844) 435-6833

165 Broadway
Fl 23
New York, NY 10006
Phone (202) 972-4964

156 William St
Rm 303
New York, NY 10038
Phone (813) 955-6329

27111 76th Ave
North New Hyde Pk, NY 11040
Phone (718) 289-2100

510 Hempstead Tpke
Rm 203
West Hempstead, NY 11552
Phone 51650572001051

675 Town Square Blvd
Ste 200
Garland, TX 75040
Phone (305) 579-9538

2700 Post Oak Blvd
Ste 2100
Houston, TX 77056

609 Main St
Ste 2500
Houston, TX 77002

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

Interoperability endpoints

  • Direct secure messaging: keisha.gordon-primus.1@23300.direct.athenahealth.com

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1433894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773964800000",
    "number": "1093196537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 4TH ST N STE 300",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337024399",
            "telephone_number": "407-863-4048",
            "fax_number": "407-987-6560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 4TH ST N STE 300",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337024399",
            "telephone_number": "407-863-4048",
            "fax_number": "407-987-6560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON-PRIMUS",
        "first_name": "KEISHA-ANN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-10",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN9231746",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9231746",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.