Odecir Elisha Gocking, NP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

95023201 Issued in CA

Practice address

43419 Alto Dr
Hemet, CA 92544-6638

Phone

(386) 503-2216

NPI assigned

Apr 24, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern NP Associates LLCGroup PAC ID 1557686243, 52 clinicians

Florida Rehab Specialists, PLLCGroup PAC ID 5890155279, 82 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Florida Rehab Specialists, PLLC

  • Adult Medicine Physician
  • Williston, FL
  • NPI 1447941984
  Medicare reassignment Care Compare group NPD
• Southern NP Associates, LLC

  • Adult Health Nurse Practitioner
  • Tuscaloosa, AL
  • NPI 1407257447

  FL

  Medicare reassignment Care Compare group NPD
• Elyaman Medical Services PA

  dba Absolute Elder Care

  • Family Medicine Physician
  • Ocala, FL
  • NPI 1609251685

  Gerontology

  Medicare reassignment NPD
• Brevard Geriatrics, LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Melbourne, FL
  • NPI 1225682784
  NPD

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

{
    "created_epoch": "1682294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1144917626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43419 ALTO DR",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925446638",
            "telephone_number": "386-503-2216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43419 ALTO DR",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925446638",
            "telephone_number": "386-503-2216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOCKING",
        "first_name": "ODECIR",
        "middle_name": "ELISHA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-04-24",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "95023201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Giroud
• GK Urgi Care Inc (SJ Medical Clinic)
• GK Urgi Care Inc (Dr Koka's senior care clinic)
• Lenesha Denae Glenn
• Charles F Glover, M.D
• Lisa Marie Godoy, CADC-CAS CS12540919
• Julie Marie Goeden, RN
• Yekaterina Gogolushko
• Rajit Raj Gohil, MD
• Christian Goin

• Gerontology Nurse Practitioner in Hemet, CA
• Providers in Hemet, CA by specialty
• Gerontology Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.