NPPES file of Aug 9, 2026

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.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1437969466
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
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 3646 Mount Elliott St

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Krystal Adams Macon, BA, SSTCase Manager/Care Coordinator1225784416
  2. Kaylin Ashbrook, LLMSWClinical Social Worker1144890948
  3. Brittany BrodaClinical Social Worker1578911053
  4. Shavonna CollierCase Manager/Care Coordinator1104502947
  5. Asia CookSocial Worker1285550251
  6. Karrah Costella, BSWSocial Worker1104203751

Verify Lisa Gordon in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Michigan board licenses this profession
    Search for license 4704351548
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Michigan license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through one group practice

  1. 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.

The 8 psychiatric/mental health nurse practitioner records with the nearest ZIP codes

  1. Kamera Boggon, AGNP -CDetroit, MI 482071700247772
  2. Shateria BooneDetroit, MI 482071316799281
  3. Suzan Brown, NPDetroit, MI 482071194451518
  4. Rhoddy Jones, NPDetroit, MI 482071659401065
  5. William Paul, PMHNPDetroit, MI 482071144985995
  6. Quintessence MuhammadDetroit, MI 482081801208467
  7. Liza Raymond, N.P.Detroit, MI 482091508915562
  8. 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.