Kimberly Gordon, CRNA
NPI 1174718266 · Certified Registered Nurse Anesthetist · Winston Salem, NC
Enrolled with Medicare as Practitioner - Certified Registered Nurse Anesthetist (crna) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kimberly Gordon, CRNA is a Certified Registered Nurse Anesthetist provider in Winston Salem, NC (NPI 1174718266).
Provider details
- NPI number
- 1174718266
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Female
- Sole proprietor
- No
- License
- 177140 (NC)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Registry dates
- Enumerated
- 2007-09-11
- Last updated
- 2020-10-28
- Certified
- 2020-10-28
Frequently asked questions
- What is Kimberly Gordon's NPI number?
- Kimberly Gordon's National Provider Identifier (NPI) is 1174718266, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kimberly Gordon's specialty?
- Kimberly Gordon is listed in the NPPES registry with a primary specialty of Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kimberly Gordon located?
- Kimberly Gordon's practice location on file with NPPES is 145 Kimel Park Dr, Winston Salem, NC 27103-6984.
- What is Kimberly Gordon's phone number?
- The practice phone number listed in the NPPES registry for Kimberly Gordon is (336) 768-3212.
- Does Kimberly Gordon accept Medicare?
- Kimberly Gordon is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kimberly Gordon's NPI active?
- Yes — Kimberly Gordon's NPI (1174718266) is active in the NPPES registry as of the last update on 2020-10-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.