Jessica L Gdovin, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA769 Issued in NV

Practice address

3039 W Horizon Ridge Pkwy Ste 110
Henderson, NV 89052-4193

Phone

(702) 478-5111

Fax

(702) 602-9012

NPI assigned

Aug 8, 2006

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

Other names 1

• Jessica L Conte Former name

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

Specialty

Physician Assistant

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Freeman and Falcone PLLCGroup PAC ID 8325436017, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Freeman and Falcone PLLC

  • Obstetrics & Gynecology Physician
  • Henderson, NV
  • NPI 1922777523
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1528078912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10624 S EASTERN AVE STE A PMB 873",
            "address_2": "STE A PMB 873",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890526391",
            "telephone_number": "702-478-5111",
            "fax_number": "702-602-9012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3039 W HORIZON RIDGE PKWY STE 110",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524193",
            "telephone_number": "702-478-5111",
            "fax_number": "702-602-9012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GDOVIN",
        "first_name": "JESSICA",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NV",
            "license": "PA769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "CONTE",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nancy Tran Phan Gauthier, OD
• Bindu Gaye
• Cynthia Nichol Gaytan, M.A, CPHW,SW,PHN
• Guadalupe Gaytan, DOTL/R
• Jewlisa Serina Gaytan
• Joell Edward Geaga
• Firtuna Ambaye Gebremedhin, RBT
• Jessica Gehl
• Cristy Geiser-Arnold
• Josephine Gelido

• Medical Physician Assistant in Henderson, NV
• Providers in Henderson, NV by specialty
• Medical Physician Assistant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.