ALEXIS GORDON
NPI 1629866249
Physician Assistant - Medical in New Hartford, NY
About Alexis Gordon NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALEXIS GORDON (NPI 1629866249) is an individual medical provider in New Hartford, New York and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS, is affiliated with Wynn Hospital, and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
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
Alexis 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Wynn Hospital
Acute Care Hospitals · Utica, NYOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEW HARTFORD, NY 13413
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 Alexis Gordon's NPI number?
The NPI number for Alexis Gordon is 1629866249. It was assigned to this individual provider in the NPPES registry on April 25, 2025.
Where is Alexis Gordon located?
Alexis Gordon practices at 1729 Burrstone Rd, New Hartford, NY 13413. The listed phone number is (315) 798-1702.
What is Alexis Gordon's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Alexis Gordon enrolled in Medicare?
Yes. Alexis Gordon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Is Alexis Gordon affiliated with any hospitals?
According to CMS data, Alexis Gordon is affiliated with Wynn Hospital.
When was this NPI record last updated?
The NPPES record for Alexis Gordon was last updated on April 25, 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.
# Alexis Gordon · NPI 1629866249
Medical physician in New Hartford, New York. Individual provider, active in the CMS NPPES registry since April 25, 2025.
## Identity
- **NPI:** 1629866249 (Entity type: Individual)
- **Enumerated:** April 25, 2025
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **Sole proprietor:** No
## Practice location
- **Address:** 1729 BURRSTONE RD, New Hartford, NY 13413-1001
- **Phone:** (315) 798-1702 · **Fax:** (315) 798-1726
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** April 25, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1629866249) · Data from the CMS NPPES public registry.