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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: October 18, 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
Phone(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
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jonathan Gordon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Longhorn Emergency Medical Associates PA
22 mi
Emergency Medicine
919 E 32ND ST
Austin, TX 78705
  • Reassigned Medicare billing, Texas enrollment
  • 547 clinicians in this Medicare group
NPI 1649669672 (925) 251-6901
Emergency Associates Of Central Texas PA
36 mi
Emergency Medicine
2201 S CLEAR CREEK RD
Killeen, TX 76549
  • Reassigned Medicare billing, Texas enrollment
  • 214 clinicians in this Medicare group
NPI 1215418280 (865) 693-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organizations bill Medicare for Jonathan Gordon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Gordon reassigns Medicare benefits to 2 organizations: Longhorn Emergency Medical Associates PA (Austin, TX) and Emergency Associates Of Central Texas PA (Killeen, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jonathan Gordon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jonathan Gordon accept?

Health plans from 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.