Tricia Gordon, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Medway, MA
NPI 1699108258 · NPPES record last updated Aug 18, 2013
Key facts
- NPI
- 1699108258
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 269908 (MA)
- Practice address
- 67D Main St
Medway, MA 02053-1831 - Phone
- (508) 533-6771
- NPI assigned
- Aug 18, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Select Rehabilitation, LLC
Massachusetts General Physicians Organization Inc
Practice addresses (Care Compare)
2600 Compass Rd
Glenview, IL 60026-8001
55 Fruit St
Boston, MA 02114-2696
Phone (617) 724-0287
Hospital & facility affiliations
- Massachusetts General Hospital
- Brigham and Women'S Hospital
- North Shore Medical Center -
- Cooley Dickinson Hospital Inc,the
- Milford Regional Medical Center
- Spaulding Rehabilitation Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140207000579 | MA | Practitioner - Nurse Practitioner | 8022247394 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 269908 | MA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Massachusetts General Physicians Organization Inc | Current |
Accepting new patients | |
| The General Hospital Corporation | Current |
Accepting new patients | |
| General Hospital Corp | Current | Accepting new patients | |
| Minuteclinic Diagnostic of Massachusetts LLC | Family | Current |
Accepting new patients |
Locations
55 Fruit St
Boston, MA 02114
55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967
311 Newbury St
Danvers, MA 01923
Phone (978) 605-0100
67D Main St
Medway, MA 02053
Phone (508) 533-6771
1025 Central St
Stoughton, MA 02072
Phone 7813416114 ext. 8221
Interoperability endpoints
- gordon.tricia.mgh@direct.partners.masshiway.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 269908 | MA | Yes |
Addresses
Primary practice location
67D Main St
Medway, MA 02053-1831
Mailing address
67D Main St
Medway, MA 02053-1831
Phone (508) 533-6771
Other providers in Medway, MA
- Edwin L. Geiger
- Pamela Giles
- Alyssa Goff
- Gretchen Ann Golz
- Jarret Gonzalez
- Laura Ann Gould
- Joshua Adam Grant
- Greater Boston Psychiatric Services, LLC
- Julie M Greiner-Ferris
- Janelle Guarino
All providers in Medway, MA · Family Nurse Practitioner in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.