Lisa Gordon
Psychiatric/Mental Health Nurse Practitioner · Detroit, MI
Lisa Gordon is a psychiatric/mental health nurse practitioner with a practice address in Detroit, Michigan, and NPI 1437969466, issued on Jan 11, 2025. Check the license (Michigan 4704351548, as entered in NPPES) with the Michigan board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Lisa Gordon
- Primary taxonomy
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License number
- 4704351548 MI
Self-reported in NPPES; status is on the state search - Practice location
- 3646 Mount Elliott St, Detroit, MI 48207
- Phone
- (313) 626-2400
- Enumerated
- Jan 11, 2025
- Record last updated
- Mar 11, 2025
- Medicare enrollment
- Enrolled (PECOS I20250913000522); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest psychiatric/mental health nurse practitioner records → All 931 in Michigan → Look up another NPI →
Also registered at 3646 Mount Elliott St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Krystal Adams Macon, BA, SSTCase Manager/Care Coordinator1225784416
- Kaylin Ashbrook, LLMSWClinical Social Worker1144890948
- Brittany BrodaClinical Social Worker1578911053
- Shavonna CollierCase Manager/Care Coordinator1104502947
- Asia CookSocial Worker1285550251
- Karrah Costella, BSWSocial Worker1104203751
Verify Lisa Gordon in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Michigan board licenses this profession
Search for license 4704351548Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Team Mental Health Services IncDetroit, MI
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Lisa Gordon among 931 psychiatric/mental health nurse practitioner records in Michigan
Lisa Gordon is one of 931 psychiatric/mental health nurse practitioner records with a practice address in Michigan. 69% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2025, is newer than 84% of them.
- NPI issued2025 · 84% of these records are older, 6% newer
- In a Medicare fileYes · 69% of these records are
- In the CMS Doctors and Clinicians fileYes · 61% of these records are
- Graduated2024 · median 2022 among the 570 with a school on file
- Record last updated2025 · 19% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363LP0808X and a Michigan practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Psychiatric/Mental Health Nurse Practitioner providers in Michigan
There are 931 psychiatric/mental health nurse practitioner records in Michigan.
All 931 in Michigan → Every provider in Detroit → Psychiatric/Mental Health Nurse Practitioner nationwide →
The 8 psychiatric/mental health nurse practitioner records with the nearest ZIP codes
- Kamera Boggon, AGNP -CDetroit, MI 482071700247772
- Shateria BooneDetroit, MI 482071316799281
- Suzan Brown, NPDetroit, MI 482071194451518
- Rhoddy Jones, NPDetroit, MI 482071659401065
- William Paul, PMHNPDetroit, MI 482071144985995
- Quintessence MuhammadDetroit, MI 482081801208467
- Liza Raymond, N.P.Detroit, MI 482091508915562
- David Tobin, NPDetroit, MI 482091992496921
Common questions
What is Lisa Gordon's NPI number?
Lisa Gordon's National Provider Identifier (NPI) is 1437969466, issued on Jan 11, 2025. An NPI identifies a provider in billing; it is not a license.
Where is Lisa Gordon located?
The NPPES record lists a practice address at 3646 Mount Elliott St, Detroit, MI, 48207. Phone: (313) 626-2400. Providers update this record themselves, so call before visiting.
How can I verify Lisa Gordon's license?
NPPES lists Michigan license number 4704351548, as entered by the provider. Search the Michigan board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.