Nicole Jo Goben, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA2596 Issued in NV

Practice address

9111 W Russell Rd Ste a
Las Vegas, NV 89148-1245

Phone

(702) 312-3333

NPI assigned

Feb 14, 2022

Sex

Female

Sole proprietor

No

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 NV

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Northern Nevada Medical Group, LLC

  • Family Medicine Physician
  • Sparks, NV
  • NPI 1972751618
  Medicare reassignment NPD
• Healogics Specialty Physicians of Nevada-Johnson, PLLC

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Carson City, NV
  • NPI 1114333853
  NPD (past)

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

{
    "created_epoch": "1644796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779321600000",
    "number": "1194470518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9111 W RUSSELL RD STE A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891481245",
            "telephone_number": "702-312-3333",
            "fax_number": "702-312-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9111 W RUSSELL RD STE A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891481245",
            "telephone_number": "702-312-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOBEN",
        "first_name": "NICOLE",
        "middle_name": "JO",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-14",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA2596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariah Taressa Goad
• Goals 4 Success
• Goals for Autism, Inc.
• Gary Dee Goaslind, D.D.S., M.S.
• Caryl Gobel, LCSW
• Jenny Kathleen Gober McDaniel, MD
• Gobo Medical Supplies LLC
• Bernadette Gochioco
• Melchor C Gochioco, PA-C
• God and Fresh Family Chiropractic

• Physician Assistant in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Physician Assistant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.