MACKENZIE GONDER
NPI 1679972608
Physician Assistant in Philipsburg, PA

Q: What is Mackenzie Gonder's NPI number?

The NPI number for Mackenzie Gonder is 1679972608. It was assigned to this individual provider in the NPPES registry on August 14, 2014.

Q: What is Mackenzie Gonder's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mackenzie Gonder was last updated on December 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since August 14, 2014PECOS EnrolledAccepts Medicare Assignment

96.56/100

CMS Quality Rating

271 RAILROAD ST, PHILIPSBURG, PA 16866(814) 342-1872(814) 342-1874 Get Directions Write a Review

NPPES record last updated: December 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 5, 2025, Jul 5, 2021 (2 updates tracked since 2021).

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About Mackenzie Gonder NPPES

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

MACKENZIE GONDER (NPI 1679972608) is an individual physician assistant in Philipsburg, Pennsylvania, licensed in Pennsylvania (OA003708) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS, is affiliated with Penn Highlands Dubois, and maintains a secondary practice location in State College.

NPPES Registry Identity

NPI1679972608

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMACKENZIE GONDER

Location Address271 RAILROAD STPhilipsburg, PA 16866-2300

Mailing Address100 Hospital AveDu Bois, PA 15801-1440 · (814) 375-4200 · Fax (814) 375-4232

Phone(814) 342-1872

Fax(814) 342-1874

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateAugust 14, 2014

Last NPPES UpdateDecember 5, 20252 updates tracked since enumeration

NPPES CertifiedDecember 5, 2025

✔ NPI 1679972608 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 PA · OA003708✔ Licensed in PA · MA057298

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.

271 RAILROAD ST, Philipsburg, PA 16866

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Secondary Practice Location 1

Location 12051 S Atherton StState College, PA 16801-7608 · Phone (844) 278-4600 · Fax (814) 231-6879

Other Identifiers 1

Medicaid103155243PA

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

Mackenzie Gonder 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 ID9335464650

PECOS Enrollment IDI20150209001543

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.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Penn Highlands Dubois

Acute Care Hospitals · Dubois, PA

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390086

Location100 Hospital AvenueDubois, PA 15801 · Clearfield County

Mount Nittany Medical Center

Acute Care Hospitals · State College, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390268

Location1800 East Park AveState College, PA 16803 · Centre County

Emergency services Birthing friendly

Penn Highlands Brookville

Critical Access Hospitals · Brookville, PA

OwnershipVoluntary non-profit - Private

CMS Certification Number391312

Location100 Hospital RoadBrookville, PA 15825 · Jefferson County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16866 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

96.56/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

95.96

Improvement Activities

Other Providers at the Same Location NPPES 11

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

PAIGE ALYSSA RUPP CRNP

Nurse Practitioner (Family)