Individual provider Active NPI

Monica Gordon, AGNP-C.

  • Adult Health Nurse Practitioner
  • Irving, TX
National Provider Identifier
1750836441
Registry record updated Sep 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AP131536 Issued in TX
Practice address
3501 N Macarthur Blvd Ste 330
Irving, TX 75062
Phone
(972) 607-2340
Fax
(972) 607-2347
NPI assigned
Aug 23, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X AP131536 TX Primary

Addresses

Primary practice location

3501 N Macarthur Blvd Ste 330
Irving, TX 75062

Mailing address

3501 N Macarthur Blvd Ste 330
Irving, TX 75062-3611
Phone (972) 607-2340

Other identifiers 1

IdentifierTypeStateIssuer
AP131536OtherTXLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20170503001694 TX Practitioner - Nurse Practitioner 2769769520 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
95.1 of 100Reported as group
Quality
88.97
Promoting interoperability
79
Improvement activities
40
Cost
83.75

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP131536TXMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Physician Associates PLLC CurrentSince May 1, 2017 Accepting new patients
Virta Medical P.C. CurrentSince Dec 7, 2025 Accepting new patients
Konata Childs, MD, PLLC Past Accepting new patients

Locations

501 Folsom St
Fl 1
San Francisco, CA 94105

6901 Snider Plz
Ste 130
Dallas, TX 75205
Phone (972) 381-6690

15500 Voss Rd
Sugar Land, TX 77498
Phone (713) 412-7607

Interoperability endpoints

  • Direct secure messaging: mgordon102424@direct.phhs.org

Organizations & group practices 3

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": "1471910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536278400000",
    "number": "1750836441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 N MACARTHUR BLVD STE 330",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750623611",
            "telephone_number": "972-607-2340",
            "fax_number": "972-607-2347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 N MACARTHUR BLVD STE 330",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "75062",
            "telephone_number": "972-607-2340",
            "fax_number": "972-607-2347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "MONICA",
        "credential": "AGNP-C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-23",
        "last_updated": "2018-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "AP131536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "AP131536",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.