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

Andrea Alexis Gordon, APNP

Individual provider Registered Nurse · NPI 1306377023

Andrea Alexis Gordon, APNP is a Nurse Practitioner in Kenosha, Wisconsin. Qualified in 2016, 10 years ago. Practices with Froedtert South Inc, a 156-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
10
Licensed in
WI
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

6308 8th Ave Ste 202
Kenosha, WI 53143
Phone: (262) 653-5330
Fax: (262) 653-5346
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9555 76th Street, Pleasant Prairie, WI 53158-1984 — (262) 653-5330

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 8432-33 (WI)
Registered Nurse Taxonomy 163W00000X · Licence 178314-030 (WI)

Record details

NPI number1306377023
Entity typeIndividual (Type 1)
GenderFemale
Credentials APNP
Sole proprietorNo
NPI enumeratedMarch 23, 2017
Last updated in NPPESJuly 4, 2018

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 Froedtert South Inc — 156 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Kenosha