Individual provider Active NPI

Dylan Gordon, PA-C

  • Physician Assistant
  • Mercersburg, PA
National Provider Identifier
1053043554
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA063591 Issued in PA
Practice address
2 Keefer Dr
Mercersburg, PA 17236-1732
Phone
(717) 328-2119
NPI assigned
Jun 24, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA063591 PA Primary

Addresses

Primary practice location

2 Keefer Dr
Mercersburg, PA 17236-1732

Mailing address

601 Memory LN
York, PA 17402-2231
Phone (717) 851-1405

Other practice location 1

354 Alexander Spring Rd
Carlisle, PA 17015-7451
Phone (717) 477-2764

Other practice location 2

46 Walnut Bottom Rd
Shippensburg, PA 17257-8219
Phone (717) 532-4148

Other practice location 3

601 E Main St
Waynesboro, PA 17268-2332
Phone (717) 765-5088

Other practice location 4

24 Antrim Commons Dr
Greencastle, PA 17225-1623
Phone (717) 593-0512

Other practice location 5

1000 Norland Ave
Chambersburg, PA 17201-4229
Phone (717) 267-6363

Other practice location 6

12 St Paul Dr
Chambersburg, PA 17201-1035
Phone (717) 217-6760

Other practice location 7

3106 Philadelphia Ave
Chambersburg, PA 17201-8938
Phone (717) 264-3644

Other practice location 8

1401 Roosevelt Ave
York, PA 17404-2244
Phone (717) 356-6250

Other practice location 9

2055 Scotland Ave
Chambersburg, PA 17201-1451
Phone (717) 217-6055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220707004063 PA Practitioner - Physician Assistant 6305226374 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians

Practice addresses (Care Compare)

2 Keefer Dr
Mercersburg, PA 17236-1732
Phone (717) 328-2119

24 Antrim Commons Dr
Greencastle, PA 17225-1623
Phone (717) 255-0157

25 Monument Rd
York, PA 17403-5073

2618 E Market St
Autumn House
York, PA 17403
Phone (717) 845-7214

914 W Market St
Autumn House West
York, PA 17403
Phone (717) 845-7214

Hospital & facility affiliations

  • Wellspan Chambersburg Hospital Hospital, Chambersburg, PA, CCN 390151
  • Wellspan Waynesboro Hospital Hospital, Waynesboro, PA, CCN 390138
  • Fulton County Medical Center Hospital, McConnellsburg, PA, CCN 391303

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group CurrentSince Jan 1, 2024 Accepting new patients
Wellspan Medical Group CurrentSince Jan 1, 2024 Accepting new patients
Good Samaritan Physician Services CurrentSince Mar 1, 2024 Accepting new patients
Wellspan Medical Group Physician Assistant Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

354 Alexander Spring Rd
Carlisle, PA 17015
Phone (717) 217-6870

3106 Philadelphia Ave
Chambersburg, PA 17201
Phone (717) 264-3644

2055 Scotland Ave
Chambersburg, PA 17201
Phone (717) 217-4963

1000 Norland Ave
Chambersburg, PA 17201
Phone (717) 267-6363

12 St Paul Dr
Chambersburg, PA 17201
Phone (717) 217-6026

24 Antrim Commons Dr
Greencastle, PA 17225
Phone (717) 593-0512

844 Tuck St
Lebanon, PA 17042
Phone (717) 274-8875

2 Keefer Dr
Mercersburg, PA 17236
Phone (717) 328-2115

46 Walnut Bottom Rd
Shippensburg, PA 17257
Phone (717) 477-2764

601 E Main St
Waynesboro, PA 17268
Phone (717) 765-5085

501 E Main St
Waynesboro, PA 17268
Phone (717) 765-3400

601 Memory Ln
York, PA 17402
Phone (717) 851-6670

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

1600 S George St
York, PA 17403
Phone (717) 848-3615

1401 Roosevelt Ave
York, PA 17404
Phone (717) 356-6250

Interoperability endpoints

  • Direct secure messaging: dgordon282633@wellspan.direct-ci.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1656028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1053043554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MEMORY LN",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022231",
            "telephone_number": "717-851-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 KEEFER DR",
            "city": "MERCERSBURG",
            "state": "PA",
            "postal_code": "172361732",
            "telephone_number": "717-328-2119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "354 Alexander Spring Rd",
            "address_purpose": "LOCATION",
            "city": "Carlisle",
            "state": "PA",
            "postal_code": "170157451",
            "country_code": "US",
            "telephone_number": "717-477-2764",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "46 Walnut Bottom Rd",
            "address_purpose": "LOCATION",
            "city": "Shippensburg",
            "state": "PA",
            "postal_code": "172578219",
            "country_code": "US",
            "telephone_number": "717-532-4148",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 E Main St",
            "address_purpose": "LOCATION",
            "city": "Waynesboro",
            "state": "PA",
            "postal_code": "172682332",
            "country_code": "US",
            "telephone_number": "717-765-5088",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24 Antrim Commons Dr",
            "address_purpose": "LOCATION",
            "city": "Greencastle",
            "state": "PA",
            "postal_code": "172251623",
            "country_code": "US",
            "telephone_number": "717-593-0512",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Norland Ave",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172014229",
            "country_code": "US",
            "telephone_number": "717-267-6363",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12 St Paul Dr",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172011035",
            "country_code": "US",
            "telephone_number": "717-217-6760",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3106 Philadelphia Ave",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172018938",
            "country_code": "US",
            "telephone_number": "717-264-3644",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1401 Roosevelt Ave",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174042244",
            "country_code": "US",
            "telephone_number": "717-356-6250",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2055 Scotland Ave",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172011451",
            "country_code": "US",
            "telephone_number": "717-217-6055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORDON",
        "first_name": "DYLAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-24",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA063591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mercersburg, PA

Sources for this page

Verify at the official NPI Registry.