NPIMap

Individual provider Active NPI

Jessie L Godsey, MD

  • Emergency Medicine Physician
  • Henderson, NV
National Provider Identifier
1255996328
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
25110 Issued in NV
Practice address
3001 Saint Rose Pkwy
Henderson, NV 89052-3839
Phone
(505) 515-9401
NPI assigned
May 4, 2019
Last updated
Nov 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Emergency Medicine Physician 207P00000X 25110 NV Primary
Emergency Medicine Physician 207P00000X 66094 AZ

Addresses

Primary practice location

3001 Saint Rose Pkwy
Henderson, NV 89052-3839

Mailing address

3001 Saint Rose Pkwy
Henderson, NV 89052-3839
Phone (505) 515-9401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, NV2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221116003200 AZ Practitioner - Emergency Medicine 0143612713 Reassigns benefits to 6 organizations
I20240326002119 NV Practitioner - Emergency Medicine 0143612713 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Exceptional Physicians Group Prescott Hospital PLLCGroup PAC ID 0446775373, 6 clinicians
Shadow Emergency Physicians PLLCGroup PAC ID 2860667375, 105 clinicians

Practice addresses (Care Compare)

3001 Saint Rose Pkwy
Henderson, NV 89052-3839
Phone (702) 616-5600

4822 E State Route 69
Prescott, AZ 86301-6885
Phone (436) 341-7800

6625 N 5TH St
North Las Vegas, NV 89084-1341
Phone (954) 939-5000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
66094AZMDEmergency Medicine Physician
25110NVMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shadow Emergency Physicians PLLC Emergency Medicine CurrentSince Feb 20, 2024 Accepting new patients
Arizona Emergency Medicine Specialists PC Emergency Medicine CurrentSince Aug 5, 2022 Accepting new patients
Shadow Emergency Physicians PLLC Emergency Medicine Current Accepting new patients
Exceptional Physicians Group Yuma Hospital PLLC Emergency Medicine CurrentSince Jul 8, 2024 Accepting new patients
Vituity-Nevada Medical Services Koury & Partners PC Emergency Medicine Current Accepting new patients
Vituity-Nevada Medical Services Koury & Partners PC Emergency Medicine CurrentSince Jul 9, 2024 Accepting new patients
Exceptional Physicians Group Arizona PLLC CurrentSince Jul 8, 2024 Accepting new patients
Exceptional Physicians Group Bullhead City Hospital PLLC CurrentSince Jan 25, 2024 Accepting new patients
Vituity-Nevada Medical Services Koury & Partners PC Emergency Medicine CurrentSince Jul 9, 2024 Accepting new patients
Exceptional Physicians Group Prescott Hospital PLLC CurrentSince Mar 29, 2025 Accepting new patients
Shadow Emergency Physicians PLLC Emergency Medicine CurrentSince Feb 20, 2024 Accepting new patients
Emergency Physicians Southwest, PC Emergency Medicine CurrentSince Mar 1, 2025 Accepting new patients
Exceptional Health Care Prescott LLC PastSince Aug 1, 2024 Accepting new patients
Exceptional Health Care Maricopa LLC PastSince Jul 25, 2021 Accepting new patients
Exceptional Health Care Bullhead City LLC PastSince Nov 19, 2023 Accepting new patients

Locations

2365 Highway 95
Bullhead City, AZ 86442
Phone (928) 224-2443

101 Civic Center Ln
Lk Havasu Cty, AZ 86403
Phone (928) 453-0150

19060 N John Wayne Pkwy
Maricopa, AZ 85139
Phone (480) 631-0675

6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000

807 S Ponderosa St
Payson, AZ 85541
Phone (520) 474-3222

4822 E State Route 69
Prescott, AZ 86301
Phone (436) 341-7800

2648 S Araby Rd
Yuma, AZ 85365
Phone 4693417800100

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

102 E Lake Mead Pkwy
Henderson, NV 89015
Phone (701) 564-2622

3001 Saint Rose Pkwy
Henderson, NV 89052
Phone (702) 615-5000

4980 W Sahara Ave
Ste 100
Las Vegas, NV 89146
Phone (702) 216-7365

620 Shadow Ln
Las Vegas, NV 89106
Phone (702) 388-4506

6625 N 5th St
North Las Vegas, NV 89084
Phone (702) 369-7671

3514 Cedar Springs Rd
Dallas, TX 75219
Phone (281) 415-6687

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1556928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763078400000",
    "number": "1255996328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 SAINT ROSE PKWY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523839",
            "telephone_number": "505-515-9401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 SAINT ROSE PKWY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523839",
            "telephone_number": "505-515-9401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODSEY",
        "first_name": "JESSIE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-04",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NV",
            "license": "25110",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "66094",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.