Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amanda B Gordon, FNP

Individual provider Nurse Practitioner · NPI 1780103143

Amanda B Gordon, FNP is a Nurse Practitioner in Saint Louis, Missouri. Qualified in 2016, 10 years ago. Practices with Dean Health Systems Inc, a 1,184-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Missouri and Wisconsin.

Years since qualifying
10
Licensed in
MO, WI
In the registry since
2017
Specialties on file
3
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Practice location Address checks out

30 Ronnies Plz
Saint Louis, MO 63126-3552
Phone: (314) 989-6807
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1718 Catlin Dr, Barnhart, MO 63012-1277 — (844) 766-7200
  • 1821 S Stoughton Rd, Madison, WI 53716-2257 — (314) 989-6807

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 2017007862 (MO)
Nurse Practitioner Taxonomy 363L00000X · Licence 14987 (WI)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 2017007862 (MO)

Record details

NPI number1780103143
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorYes
NPI enumeratedSeptember 15, 2017
Last updated in NPPESJune 6, 2024
Certification dateJune 6, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Dean Health Systems Inc — 1184 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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