NPIMap

Individual provider Active NPI

Jennifer Gordon, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1235511072
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
3009312 Issued in KY
Practice address
4501 Louise Underwood Way
Louisville, KY 40216-3987
Phone
(502) 368-2340
NPI assigned
Jun 28, 2015
Last updated
Jul 31, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3009312 KY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3009312 KY Primary

Addresses

Primary practice location

4501 Louise Underwood Way
Louisville, KY 40216-3987

Mailing address

4501 Louise Underwood Way
Louisville, KY 40216-3987
Phone (502) 368-2340

Other practice location 1

130 S Joe B Hall Ave
Shepherdsville, KY 40165-6009
Phone (502) 589-8600

Other practice location 2

140 Whittington Pkwy
Suite 100
Louisville, KY 40222-4930
Phone (502) 327-9100

Other practice location 3

140 Whittington Pkwy
Suite 100
Louisville, KY 40222-4930
Phone (502) 327-9100

Other practice location 4

4011 Gardiner Point Dr Ste 101
Louisville, KY 40213-1988
Phone (502) 451-5121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150707003377 KY Practitioner - Nurse Practitioner 1759693500 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians
Commonwealth of KentuckyGroup PAC ID 0840180816, 28 clinicians

Practice addresses (Care Compare)

3900 Kresge Way
Suite 51
Louisville, KY 40207-4690
Phone (502) 259-5955

4501 Louise Underwood Way
Louisville, KY 40216-3987
Phone 50236823482223

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3009312KYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth of Kentucky CurrentSince Jan 25, 2021 Accepting new patients
TBD Acquisition, LLC CurrentSince Oct 21, 2020 Accepting new patients
Commonwealth of Kentucky CurrentSince Jan 25, 2021 Accepting new patients
Baptist Medical Associates Inc CurrentSince Apr 18, 2023 Accepting new patients
Seven Counties Services, Inc. CurrentSince Mar 18, 2018 Accepting new patients
Mandala House, LLC CurrentSince Apr 15, 2022 Accepting new patients
Kentucky Eye Care PSC Past Accepting new patients

Locations

10401 Linn Station Rd
Ste 100
Louisville, KY 40223

1190 E Broadway
Louisville, KY 40204
Phone (502) 309-2408

1405 Browns Ln
Louisville, KY 40207
Phone (502) 896-0495

3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313

3900 Kresge Way
Ste 51
Louisville, KY 40207
Phone (502) 259-5955

4501 Louise Underwood Way
Louisville, KY 40216
Phone (502) 368-2348

530 S Jackson St
Louisville, KY 40202
Phone (502) 562-3000

633 Baxter Ave
Louisville, KY 40204
Phone (502) 309-2408

Organizations & group practices 8

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.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1435449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1235511072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 LOUISE UNDERWOOD WAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402163987",
            "telephone_number": "502-368-2340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 LOUISE UNDERWOOD WAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402163987",
            "telephone_number": "502-368-2340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 S Joe B Hall Ave",
            "address_purpose": "LOCATION",
            "city": "Shepherdsville",
            "state": "KY",
            "postal_code": "401656009",
            "country_code": "US",
            "telephone_number": "502-589-8600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "140 Whittington Pkwy",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402224930",
            "country_code": "US",
            "telephone_number": "502-327-9100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "140 Whittington Pkwy",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402224930",
            "country_code": "US",
            "telephone_number": "502-327-9100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4011 Gardiner Point Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402131988",
            "country_code": "US",
            "telephone_number": "502-451-5121",
            "fax_number": "502-451-5125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORDON",
        "first_name": "JENNIFER",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-28",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3009312",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3009312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.