Individual provider Active NPI

Martha Elizabeth Gordon, RN, CRNA

  • Certified Registered Nurse Anesthetist
  • Newton, MA
National Provider Identifier
1689218620
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
7536 Issued in NC
Practice address
2014 Washington St
Newton, MA 02462-1607
Phone
(617) 243-6298
NPI assigned
Nov 2, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN2361604 MA
Certified Registered Nurse Anesthetist 367500000X 7536 NC Primary

Addresses

Primary practice location

2014 Washington St
Newton, MA 02462-1607

Mailing address

2014 Washington St
Newton, MA 02462-1607

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, MA, NC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20200403002658 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 0648609131 Reassigns benefits to 2 organizations
I20221017000894 MA Practitioner - Certified Registered Nurse Anesthetist (Crna) 0648609131 Reassigns benefits to 1 organization
I20250206001616 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 0648609131 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Carolina Anesthesia Associates PLLCGroup PAC ID 5092720813, 691 clinicians
Duke Health Integrated Practice IncGroup PAC ID 8325412737, 3,140 clinicians

Practice addresses (Care Compare)

1505 SW Cary Pkwy
Suite 100
Cary, NC 27511-6219
Phone (919) 651-3880

2301 Erwin Rd
Durham, NC 27705-4699
Phone (919) 684-8111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2361604MAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
American Anesthesiology of Virginia, PC CurrentSince Feb 18, 2020 Accepting new patients
American Anesthesiology of Virginia PC CurrentSince Feb 18, 2020 Accepting new patients
Raleigh Sedation Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2024 Accepting new patients
Duke University Health System, Inc. CurrentSince May 5, 2025 Accepting new patients
Duke University Health System, Inc. Nurse Anesthetist, Certified Registered CurrentSince May 5, 2025 Accepting new patients
Rsa Johnston LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2024 Accepting new patients
Medstream Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Mar 24, 2021 Accepting new patients
Duke University Health System, Inc. Current Accepting new patients
East Carolina Anesthesia Associates, PLLC Registered Nurse CurrentSince May 1, 2025 Accepting new patients
Duke University Health System, Inc. CurrentSince May 5, 2025 Accepting new patients
Duke Health Integrated Practice, Inc. CurrentSince May 5, 2025 Accepting new patients
Commonwealth Anesthesia Associates, Inc CurrentSince Aug 1, 2022 Accepting new patients
Johnston Health Endoscopy Services, LLC Past Accepting new patients

Locations

2014 Washington St
Newtonville, MA 02462
Phone (617) 243-6000

1505 SW Cary Pkwy
Ste 100
Cary, NC 27511
Phone (919) 415-1360

2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289

40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588

3643 N Roxboro St
Durham, NC 27704
Phone (919) 470-6186

2430 Emerald Pl
Ste 103
Greenville, NC 27834
Phone (252) 752-2140

2417 Atrium Dr
Ste 101
Raleigh, NC 27607
Phone (919) 249-5216

3400 Wake Forest Rd
Raleigh, NC 27609
Phone (919) 954-3000

19455 Deerfield Ave
Ste 204
Leesburg, VA 20176
Phone (703) 724-9950

8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000

6801 Governor Gc Peery Hwy
Richlands, VA 24641
Phone (276) 523-8600

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 and National Provider Directory roles.

View all 13

Hospital & facility affiliations 6

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": "1572652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1689218620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2014 WASHINGTON ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024621607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2014 WASHINGTON ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024621607",
            "telephone_number": "617-243-6298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "MARTHA",
        "middle_name": "ELIZABETH",
        "credential": "RN, CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-02",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MA",
            "license": "RN2361604",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "7536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.