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

Nickiesh Gordon

Individual provider Family Nurse Practitioner · NPI 1023773900

Nickiesh Gordon is a Nurse Practitioner in Fort Myers, Florida. Qualified in 2021, 5 years ago. Practices with Millennium Physician Group LLC, a 970-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
5
Licensed in
FL
In the registry since
2021
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Practice location Address checks out

2675 Winkler Ave Fl 2
Fort Myers, FL 33901-9342
Phone: (855) 979-5700
Fax: (855) 979-5701
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN11016431 (FL)

Record details

NPI number1023773900
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 4, 2021
Last updated in NPPESFebruary 6, 2024
Certification dateFebruary 6, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Millennium Physician Group Llc — 970 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Fort Myers