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JESSICA LAUREN GORDON PA-C
NPI 1639792419
Physician Assistant in Peoria, AZ

Active since May 27, 2020PECOS EnrolledAccepts Medicare Assignment
10613 W OLIVE AVE STE 200, PEORIA, AZ 85345(480) 677-8282(844) 470-2777 Get Directions Write a Review

NPPES record last updated: September 5, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 5, 2025, Jun 30, 2025, Oct 3, 2024 and 2 more (5 updates tracked since 2020).

About Jessica Lauren Gordon Pa-c NPPES

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

JESSICA LAUREN GORDON PA-C (NPI 1639792419) is an individual physician assistant in Peoria, Arizona, licensed in Arizona (11042) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1639792419
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJESSICA LAUREN GORDONCredential: PA-C
Location Address10613 W OLIVE AVE STE 200Peoria, AZ 85345-7339
Mailing Address261 N Roosevelt AveChandler, AZ 85226-2617 · (480) 677-8282 · Fax (844) 470-2777
Phone(480) 677-8282
Fax(844) 470-2777
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMay 27, 2020
Last NPPES UpdateSeptember 5, 20255 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2025
✔ NPI 1639792419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in AZ · 11042✔ Licensed in IL · 085.007549✔ Licensed in SC · 3557
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.
10613 W OLIVE AVE STE 200, Peoria, AZ 85345
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Other Identifiers 1

Medicaid252250AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc..Insurance ›

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

Jessica Lauren Gordon Pa-c 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 ID3476972068
PECOS Enrollment IDI20250909003343
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 85345 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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 4

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

DR. ANITA KAYE RENSHLER-BROWN PHD, FNP-C
Nurse Practitioner (Family)
10613 W OLIVE AVE STE 200
PEORIA, AZ 85345
Maricopa County (480) 677-8282
JAMIE R DESCOTEAUX ARNP
Nurse Practitioner (Family)
10613 W OLIVE AVE STE 200
PEORIA, AZ 85345
Maricopa County (480) 677-8282
YAJAIRA ACOSTA FNP
Nurse Practitioner (Family)
10613 W OLIVE AVE STE 200
PEORIA, AZ 85345
Maricopa County (480) 677-8282
GOOD HEALTH MEDICAL, PLLC
Family Medicine
10613 W OLIVE AVE STE 200
PEORIA, AZ 85345
Maricopa County (480) 677-8282

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 Jessica Gordon's NPI number?

The NPI number for Jessica Gordon is 1639792419. It was assigned to this individual provider in the NPPES registry on May 27, 2020.

Where is Jessica Gordon located?

Jessica Gordon practices at 10613 W Olive Ave Ste 200, Peoria, AZ 85345. The listed phone number is (480) 677-8282.

What is Jessica Gordon's specialty?

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

Is Jessica Gordon enrolled in Medicare?

Yes. Jessica 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.

What insurance does Jessica Gordon accept?

Health plans from Blue Cross Blue Shield of Arizona and Oscar Health Plan, Inc. list Jessica 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 Jessica Gordon was last updated on September 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.