EMILY GRACE GOUKER PA-C
NPI 1447922638
Physician Assistant - Medical in Mishawaka, IN

Active since October 05, 2021PECOS Enrolled
270 E DAY RD STE 280, MISHAWAKA, IN 46545(574) 271-0268(574) 271-0395 Get Directions Write a Review

NPPES record last updated: October 5, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Emily Grace Gouker Pa-c NPPES

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

EMILY GRACE GOUKER PA-C (NPI 1447922638) is an individual medical provider in Mishawaka, Indiana, licensed in Indiana (10003411A) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447922638
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameEMILY GRACE GOUKERCredential: PA-C
Location Address270 E DAY RD STE 280Mishawaka, IN 46545-3452
Mailing Address270 E Day Rd Ste 280Mishawaka, IN 46545-3452 · (574) 271-0268 · Fax (574) 271-0395
Fax(574) 271-0395
Sole ProprietorNo
Enumeration DateOctober 5, 2021
NPPES CertifiedOctober 5, 2021
NPI 1447922638 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 IN · 10003411A
270 E DAY RD STE 280, Mishawaka, IN 46545

Other Identifiers 3

Other000000090717IN · Bcbs
Medicaid100092300IN
Other110052119IN · Rr Midicare

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Emily Grace Gouker Pa-c 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 4

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

Family Medicine (Geriatric Medicine)
270 E DAY RD STE 280
MISHAWAKA, IN 46545
Family Medicine
270 E DAY RD STE 280
MISHAWAKA, IN 46545
Family Medicine (Geriatric Medicine)
270 E DAY RD STE 280
MISHAWAKA, IN 46545
Physician Assistant
270 E DAY RD STE 280
MISHAWAKA, IN 46545

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 Emily Gouker's NPI number?

The NPI number for Emily Gouker is 1447922638. It was assigned to this individual provider in the NPPES registry on October 5, 2021.

Where is Emily Gouker located?

Emily Gouker practices at 270 E Day Rd Ste 280, Mishawaka, IN 46545. The listed phone number is (574) 271-0268.

What is Emily Gouker's specialty?

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

Is Emily Gouker enrolled in Medicare?

Yes. Emily Gouker is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Emily Gouker was last updated on October 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.