Jessica Gordon, CRNA
NPI 1164104899 · Certified Registered Nurse Anesthetist · Myrtle Beach, SC
Enrolled with Medicare as Practitioner - Certified Registered Nurse Anesthetist (crna) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jessica Gordon, CRNA is a Certified Registered Nurse Anesthetist provider in Myrtle Beach, SC (NPI 1164104899).
Provider details
- NPI number
- 1164104899
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 1330 Powell StNorristown, PA 19401-3353Phone: (484) 622-7280
- 1021 Cipriana Dr Ste 100Myrtle Beach, SC 29572-4621Phone: (843) 449-7885
Registry dates
- Enumerated
- 2023-08-02
- Last updated
- 2025-01-28
- Certified
- 2025-01-28
Frequently asked questions
- What is Jessica Gordon's NPI number?
- Jessica Gordon's National Provider Identifier (NPI) is 1164104899, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jessica Gordon's specialty?
- Jessica Gordon is listed in the NPPES registry with a primary specialty of Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jessica Gordon located?
- Jessica Gordon's practice location on file with NPPES is 809 82nd Pkwy, Myrtle Beach, SC 29572-4607.
- What is Jessica Gordon's phone number?
- The practice phone number listed in the NPPES registry for Jessica Gordon is (843) 692-1000.
- Does Jessica Gordon accept Medicare?
- Jessica Gordon is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jessica Gordon's NPI active?
- Yes — Jessica Gordon's NPI (1164104899) is active in the NPPES registry as of the last update on 2025-01-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.