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MARY GERGIS P.A.
NPI 1164758371
Physician Assistant - Medical in Elizabethtown, PA

Active since October 22, 2009PECOS Enrolled
530 E. CEDAR STREET, ELIZABETHTOWN, PA 17022(717) 689-1245(717) 689-1246 Get Directions Write a Review

NPPES record last updated: March 16, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 16, 2026, Jul 21, 2022, Mar 17, 2018 and 2 more (5 updates tracked since 2016).

About Mary Gergis P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY GERGIS P.A. (NPI 1164758371) is an individual medical provider in Elizabethtown, Pennsylvania, licensed in Pennsylvania (MA058966) and active in the NPI registry since October 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164758371
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMARY GERGISCredential: P.A.
Location Address530 E. CEDAR STREETElizabethtown, PA 17022-2516
Mailing Address530 E. Cedar StreetElizabethtown, PA 17022-2516 · (717) 689-1245 · Fax (717) 689-1246
Phone(717) 689-1245
Fax(717) 689-1246
Sole ProprietorYes
Enumeration DateOctober 22, 2009
Last NPPES UpdateMarch 16, 20265 updates tracked since enumeration
NPPES CertifiedMarch 16, 2026
✔ NPI 1164758371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in PA · MA058966
530 E. CEDAR STREET, Elizabethtown, PA 17022
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Gergis P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NATALIE LORRAINE LUCIANO
Nurse Practitioner (Family)
530 E. CEDAR STREET
ELIZABETHTOWN, PA 17022
Lancaster County (717) 689-1245

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Gergis's NPI number?

The NPI number for Mary Gergis is 1164758371. It was assigned to this individual provider in the NPPES registry on October 22, 2009.

Where is Mary Gergis located?

Mary Gergis practices at 530 E. Cedar Street, Elizabethtown, PA 17022. The listed phone number is (717) 689-1245.

What is Mary Gergis's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Mary Gergis enrolled in Medicare?

Yes. Mary Gergis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Gergis was last updated on March 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.