Individual provider Active NPI

Mary Gergis, P.A.

  • Medical Physician Assistant
  • Elizabethtown, PA
National Provider Identifier
1164758371
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA058966 Issued in PA
Practice address
530 E. Cedar Street
Elizabethtown, PA 17022-2516
Phone
(717) 689-1245
Fax
(717) 689-1246
NPI assigned
Oct 22, 2009
Last updated
Mar 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA058966 PA Primary

Addresses

Primary practice location

530 E. Cedar Street
Elizabethtown, PA 17022-2516

Mailing address

530 E. Cedar Street
Elizabethtown, PA 17022-2516
Phone (717) 689-1245

Other practice location 1

604 Continental Blvd
Danville, PA 17821
Phone (570) 284-4575

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
I20170809001185 PA Practitioner - Physician Assistant 0941477269 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2573CTMDMarriage & Family Therapist
MA058966PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster General Medical Group CurrentSince Mar 16, 2026 Accepting new patients
Lancaster General Medical Group CurrentSince Mar 16, 2026 Accepting new patients
Neighborhood Health, Inc. Physician Assistant Past Accepting new patients
Evangelical-Geisinger Health, LLC Past Accepting new patients
Geisinger Bloomsburg Hospital Past Accepting new patients

Locations

2110 Harrisburg Pike
Ste 100
Lancaster, PA 17601
Phone (717) 544-3059

3045 Marietta Ave
Lancaster, PA 17601
Phone (717) 299-4644

1159 River Rd
#F
Marietta, PA 17547
Phone (717) 426-1131

Interoperability endpoints

  • Direct secure messaging: mgergis148938@direct.geisinger.edu

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1256169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773619200000",
    "number": "1164758371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 E. CEDAR STREET",
            "city": "ELIZABETHTOWN",
            "state": "PA",
            "postal_code": "170222516",
            "telephone_number": "717-689-1245",
            "fax_number": "717-689-1246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 E. CEDAR STREET",
            "city": "ELIZABETHTOWN",
            "state": "PA",
            "postal_code": "170222516",
            "telephone_number": "717-689-1245",
            "fax_number": "717-689-1246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "604 Continental Blvd",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "PA",
            "postal_code": "17821",
            "country_code": "US",
            "telephone_number": "570-284-4575",
            "fax_number": "570-284-4577",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GERGIS",
        "first_name": "MARY",
        "credential": "P.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-22",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA058966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, PA

Sources for this page

Verify at the official NPI Registry.