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

Rickell Gordon, NURSEPRACTITIONER

Individual provider Registered Nurse · NPI 1093132052

Rickell Gordon, NURSEPRACTITIONER is a Nurse Practitioner in Rochester, New York. Qualified in 2019, 7 years ago. Practices with Ilm Medical Care PLLC, a 37-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
7
Licensed in
NY
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

528 Augustine St
Rochester, NY 14613-1335
Phone: (585) 733-0433
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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 345491 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 682852 (NY)

Record details

NPI number1093132052
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedMarch 27, 2014
Last updated in NPPESMay 7, 2020
Certification dateMay 7, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Ilm Medical Care Pllc — 37 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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