Individual provider Active NPI

Ann Gordon, G.N.P.

  • Gerontology Nurse Practitioner
  • Eau Claire, WI
National Provider Identifier
1245776731
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
655-33 Issued in WI
Practice address
3802 Oakwood Mall Dr
Eau Claire, WI 54701-3016
Phone
(715) 839-9280
NPI assigned
Jan 9, 2017
Last updated
Jan 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 655-33 WI Primary
Gerontology Nurse Practitioner 363LG0600X 113269-30 WI

Addresses

Primary practice location

3802 Oakwood Mall Dr
Eau Claire, WI 54701-3016

Mailing address

2403 Folsom St
Eau Claire, WI 54703-2435
Phone (715) 552-6589

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address agordon130851@ewd.direct.hshs.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20170119001175 WI Practitioner - Nurse Practitioner 2769764141 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Wisconsin School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oakleaf Clinics IncGroup PAC ID 4486831328, 103 clinicians

Practice addresses (Care Compare)

3802 Oakwood Mall Dr
Eau Claire, WI 54701-3016
Phone (715) 839-9280

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
113269-30WIMDGerontology Nurse Practitioner
655-33WIMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oakleaf Clinics Inc Gerontology CurrentSince Feb 13, 2017 Accepting new patients
Oakleaf Clinics Inc Gerontology Past Accepting new patients

Locations

2403 Folsom St
Eau Claire, WI 54703
Phone (715) 552-9784

3119 Golf Rd
Ste 107
Eau Claire, WI 54701
Phone (715) 514-2833

3213 Stein Blvd
Eau Claire, WI 54701
Phone (715) 552-9784

3802 Oakwood Mall Dr
Eau Claire, WI 54701
Phone (715) 831-8130

719 W Hamilton Ave
Ste B
Eau Claire, WI 54701
Phone (715) 839-8020

Interoperability endpoints

  • Direct secure messaging: agordon130851@ewd.direct.hshs.org
  • Direct secure messaging: agordon30060@oakleafmed.gardenplot.direct-ci.com

Organizations & group practices 2

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 3

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

NPI Registry JSON

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

{
    "created_epoch": "1483920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1245776731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2403 FOLSOM ST",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547032435",
            "telephone_number": "715-552-6589",
            "fax_number": "715-835-6370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3802 OAKWOOD MALL DR",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547013016",
            "telephone_number": "715-839-9280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "ANN",
        "credential": "G.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-09",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "WI",
            "license": "655-33",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "WI",
            "license": "113269-30",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "agordon130851@ewd.direct.hshs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "3802 Oakwood Mall Dr",
            "city": "Eau Claire",
            "state": "WI",
            "country_code": "US",
            "postal_code": "547013016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

Verify at the official NPI Registry.