MR. JONATHAN GORDON NP-C
NPI 1538647698
Nurse Practitioner - Family in Georgetown, TX

Active since August 01, 2018PECOS Enrolled
1419 GRANDE MESA DR, GEORGETOWN, TX 78626(512) 589-4599 Get Directions Write a Review

NPPES record last updated: August 1, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Jonathan Gordon Np-c NPPES

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

MR. JONATHAN GORDON NP-C (NPI 1538647698) is an individual family provider in Georgetown, Texas, licensed in Texas (AP138312) and active in the NPI registry since August 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1538647698
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. JONATHAN GORDONCredential: NP-C
Location Address1419 GRANDE MESA DRGeorgetown, TX 78626-7079
Mailing Address1419 Grande Mesa DrGeorgetown, TX 78626-7079 · (512) 589-4599
Sole ProprietorNo
Enumeration DateAugust 1, 2018
NPI 1538647698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TX · AP138312
Also ListedRegistered Nurse · EmergencyTaxonomy 163WE0003X · License 841626 (TX)
1419 GRANDE MESA DR, Georgetown, TX 78626

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Jonathan Gordon Np-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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78626 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Jonathan Gordon's NPI number?

The NPI number for Jonathan Gordon is 1538647698. It was assigned to this individual provider in the NPPES registry on August 1, 2018.

Where is Jonathan Gordon located?

Jonathan Gordon practices at 1419 Grande Mesa Dr, Georgetown, TX 78626. The listed phone number is (512) 589-4599.

What is Jonathan Gordon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jonathan Gordon enrolled in Medicare?

Yes. Jonathan Gordon is registered in the Medicare PECOS enrollment system.

What insurance does Jonathan Gordon accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. and Blue Cross and Blue Shield of Texas list Jonathan Gordon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jonathan Gordon was last updated on August 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.