Individual provider Active NPI

Suzann Gordon, DNP, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Reno, NV
National Provider Identifier
1619247681
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
812973 Issued in NV
Practice address
9805 Double R Blvd Ste 300
Reno, NV 89521-4827
Phone
(833) 351-8255
NPI assigned
Jan 9, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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 812973 NV Primary
Registered Nurse 163W00000X RN57117 NV

Addresses

Primary practice location

9805 Double R Blvd Ste 300
Reno, NV 89521-4827

Mailing address

9805 Double R Blvd Ste 300
Reno, NV 89521-4827

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20190423002252 NV Practitioner - Nurse Practitioner 3274875208 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MCCD FL Psychiatry Services PAGroup PAC ID 4880064070, 751 clinicians

Practice addresses (Care Compare)

9550 S Eastern Ave
Suite 253
Las Vegas, NV 89123-8042
Phone (833) 351-8255

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN57117NVMDRegistered Nurse
812973NVMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Alliance Current Accepting new patients
Community Health Alliance CurrentSince Jul 1, 2024 Accepting new patients
Homebase Care Casal PLLC CurrentSince Sep 1, 2019 Accepting new patients
Medtrans Medical Nevada Casal PLLC CurrentSince Sep 1, 2019 Accepting new patients
MCCD FL Psychiatry Services PA CurrentSince Mar 17, 2025 Accepting new patients
Community Health Alliance CurrentSince Jul 1, 2024 Accepting new patients

Locations

3312 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 410-7825

5412 Boulder Hwy
Las Vegas, NV 89122

9550 S Eastern Ave
Ste 253
Las Vegas, NV 89123
Phone (702) 381-0980

850 Mill St
Ste 100
Reno, NV 89502
Phone (775) 982-3950

680 S Rock Blvd
Reno, NV 89502
Phone (775) 336-3003

1055 S Wells Ave
Reno, NV 89502
Phone (775) 829-6300

9805 Double R Blvd
Ste 300
Reno, NV 89521
Phone (775) 412-7385

330 Crampton St
Reno, NV 89502
Phone (775) 336-3700

109 W 27th St
Rm 5S
New York, NY 10001
Phone (332) 230-4572

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1326067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1619247681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9805 DOUBLE R BLVD STE 300",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895214827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9805 DOUBLE R BLVD STE 300",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895214827",
            "telephone_number": "833-351-8255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "SUZANN",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-09",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NV",
            "license": "812973",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NV",
            "license": "RN57117",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.