Mackenzie Gonder
Individual provider Active NPI Physician Assistant · Philipsburg, PA
NPI 1679972608 · NPPES record last updated Dec 5, 2025
Key facts
- NPI
- 1679972608
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- OA003708 (PA)
- Practice address
- 271 Railroad St
Philipsburg, PA 16866-2300 - Phone
- (814) 342-1872
- Fax
- (814) 342-1874
- NPI assigned
- Aug 14, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 17
Hospital & facility affiliations 37
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mount Nittany Medical Center Health Services Inc
Brookville Hospital
Practice addresses (Care Compare)
2051 S Atherton St
State College, PA 16801-7608
Phone (844) 278-4600
271 Railroad St
Philipsburg, PA 16866-2300
Phone (814) 342-9701
Hospital & facility affiliations
- Mount Nittany Medical Center
- Penn Highlands Dubois
- Penn Highlands Brookville
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150209001543 | PA | Practitioner - Physician Assistant | 9335464650 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OA003708 | PA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brookville Hospital | Physician Assistant | Current |
Accepting new patients |
| Brookville Hospital | Physician Assistant | Current |
Accepting new patients |
| Brookville Hospital | Current |
Accepting new patients | |
| Dubois Regional Medical Center | Current |
Accepting new patients | |
| Mount Nittany Medical Center Health Services Inc | Current |
Accepting new patients | |
| Dubois Regional Medical Center | Physician Assistant | Current |
Accepting new patients |
| Mount Nittany Medical Center Health Services Inc | Past | Accepting new patients |
Locations
141 Medical Park Ln
Bellefonte, PA 16823
Phone (814) 355-7322
100 Hospital Rd
Brookville, PA 15825
Phone (814) 849-1408
100 Hospital Ave
Dubois, PA 15801
Phone (814) 375-2040
271 Railroad St
Philipsburg, PA 16866
Phone (814) 342-1872
1049 N Front St
Philipsburg, PA 16866
Phone (814) 342-9186
2051 S Atherton St
State College, PA 16801
Phone (844) 278-4600
1850 E Park Ave
Ste 201
State College, PA 16803
Phone (814) 234-8800
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA057298 | PA | |
| Physician Assistant | 363A00000X | OA003708 | PA | Yes |
Addresses
Primary practice location
271 Railroad St
Philipsburg, PA 16866-2300
Mailing address
100 Hospital Ave
Du Bois, PA 15801-1440
Phone (814) 375-4200
Other practice location 1
2051 S Atherton St
State College, PA 16801-7608
Phone (844) 278-4600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103155243 | Medicaid | PA |
Other providers in Philipsburg, PA
- Geisinger Clinic
- Geisinger Clinic
- Geisinger Clinic MV Multi
- Sindhu George
- Carly Gonder
- Keila Good
- Jennifer L Graham
- Grattan'S Pharmacy Inc.
- Danielle Renee Gregory
- Rebecca Guenot
All providers in Philipsburg, PA · Physician Assistant in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 5, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.