Individual provider Active NPI

Delvyann Gordon, APRN

  • Family Nurse Practitioner
  • Newtown, CT
National Provider Identifier
1285373266
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10829 Issued in CT
Practice address
164 Mount Pleasant Rd Ste 202
Newtown, CT 06470-1477
Phone
(203) 270-1016
Fax
(203) 270-0089
NPI assigned
May 31, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 10829 CT Primary

Addresses

Primary practice location

164 Mount Pleasant Rd Ste 202
Newtown, CT 06470-1477

Mailing address

164 Mount Pleasant Rd Ste 202
Newtown, CT 06470-1477
Phone (203) 270-1016

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20230116000493 CT Practitioner - Nurse Practitioner 5597136374 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prohealth Physicians PCGroup PAC ID 1355246950, 214 clinicians

Practice addresses (Care Compare)

164 Mount Pleasant Rd
Suite 202
Newtown, CT 06470-1477
Phone (203) 270-1016

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.6 of 100Reported as group
Quality
84.86
Promoting interoperability
99
Improvement activities
40
Cost
71.31

Merit-based Incentive Payment System (MIPS)

Final score
87.64 of 100Reported as group
Quality
76.13
Improvement activities
40
Cost
69.23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10829CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Infinite Medical PC CurrentSince May 1, 2024 Accepting new patients
Prohealth Physicians PC Family CurrentSince Jul 14, 2025 Accepting new patients

Locations

164 Mount Pleasant Rd
Ste 202
Newtown, CT 06470
Phone (203) 270-1016

80 Fern Dr
Torrington, CT 06790
Phone (203) 294-7300

115 Spencer St
Winsted, CT 06098
Phone (860) 738-5810

250 Skillman St
Ste 202
Brooklyn, NY 11205

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1653955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1285373266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 MOUNT PLEASANT RD STE 202",
            "city": "NEWTOWN",
            "state": "CT",
            "postal_code": "064701477",
            "telephone_number": "203-270-1016",
            "fax_number": "203-270-0089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 MOUNT PLEASANT RD STE 202",
            "city": "NEWTOWN",
            "state": "CT",
            "postal_code": "064701477",
            "telephone_number": "203-270-1016",
            "fax_number": "203-270-0089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "DELVYANN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-31",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "10829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newtown, CT

Sources for this page

Verify at the official NPI Registry.