EMMA ELIZABETH GORDON
NPI 1295549350
Physician Assistant in Okmulgee, OK

Q: What is Emma Gordon's NPI number?

The NPI number for Emma Gordon is 1295549350. It was assigned to this individual provider in the NPPES registry on February 6, 2025.

Q: What is Emma Gordon's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Emma Gordon was last updated on April 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since February 06, 2025PECOS EnrolledAccepts Medicare Assignment

1313 E 20TH ST, OKMULGEE, OK 74447(918) 591-5700(918) 756-4490 Get Directions Write a Review

NPPES record last updated: April 23, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 7, 2025, Feb 6, 2025 (2 updates tracked since 2025).

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About Emma Elizabeth Gordon NPPES

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

EMMA ELIZABETH GORDON (NPI 1295549350) is an individual physician assistant in Okmulgee, Oklahoma, licensed in Oklahoma (5461) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS, is affiliated with Muscogee (creek) Nation Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1295549350

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameEMMA ELIZABETH GORDON

Location Address1313 E 20TH STOkmulgee, OK 74447-6303

Mailing Address1313 E 20th StOkmulgee, OK 74447-6303 · (918) 591-5700 · Fax (918) 756-4490

Phone(918) 591-5700

Fax(918) 756-4490

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateFebruary 6, 2025

Last NPPES UpdateApril 23, 20252 updates tracked since enumeration

NPPES CertifiedApril 23, 2025

✔ NPI 1295549350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in OK · 5461

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1313 E 20TH ST, Okmulgee, OK 74447

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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 and accepts Medicare assignment

Emma Elizabeth Gordon is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1951824705

PECOS Enrollment IDI20250402001149, I20250402001374

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.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Muscogee (creek) Nation Medical Center

Acute Care Hospitals · Okmulgee, OK

OwnershipTribal

CMS Certification Number370057

Location1401 Morris DriveOkmulgee, OK 74447 · Okmulgee County

Emergency services

Council Oak Comprehensive Healthcare

Acute Care Hospitals · Tulsa, OK

OwnershipTribal

CMS Certification Number370244

Location10109 E 79th StTulsa, OK 74133 · Tulsa County

Creek Nation Community Hospital

Critical Access Hospitals · Okemah, OK

OwnershipTribal

CMS Certification Number371333

Location1800 E CoplinOkemah, OK 74859 · Okfuskee County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74447 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.46 typical visit price

range $53.00 – $162.61

Typical copayment $20.61 (range $13.25 – $40.65)

Most-billed visit code 99203

Established Patient

$66.48 typical visit price

range $16.68 – $132.40

Typical copayment $16.62 (range $4.17 – $33.10)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

ASHLEY NICHOLS

Case Manager/Care Coordinator