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

Individual provider Gerontology Nurse Practitioner · NPI 1225408966

Wesley Gordon is a Nurse Practitioner in Saint Louis, Missouri. Qualified in 2014, 12 years ago. Practices with St Anthonys Physician Organization Hospitalist Services Lc, a 139-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
12
Licensed in
MO
In the registry since
2015
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Practice location Address checks out

10010 Kennerly Rd
Saint Louis, MO 63128-2106
Phone: (314) 525-1328
Fax: (314) 525-1378
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 2015005075 (MO)

Record details

NPI number1225408966
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 6, 2015
Last updated in NPPESMarch 15, 2017

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice St Anthonys Physician Organization Hospitalist Services Lc — 139 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Saint Louis