NOZOMI GODFREY – Certified Registered Nurse Anesthetist, NPI 1114673373

NOZOMI GODFREY is a healthcare provider. based in Hollywood, Florida. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 79582 (ID). The NPI Number for NOZOMI GODFREY is 1114673373

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
NOZOMI GODFREY
NPI
1114673373
Phone
Not provided
Address
PO BOX 224053
Enumeration Date
26 February 2022
Last Update Date
24 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2083812222
Graduation Year
2012 (14 years ago)
PAC ID
6103362207
Group Practice PAC ID
2668385287
Professional Enrollment ID
I20240725001193
Address ID
ID837126241BO190XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

118 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in HI

Provider Addresses for NOZOMI GODFREY

  • PO BOX 224053

    HOLLYWOOD, FL 330224053

    Phone:

    Type: Mailing

  • 44-094 IKEANANI DR APT 911

    KANEOHE, HI 967446402

    Phone: (808) 542-9087

    Type: Location

  • 1066 S SILVERSTONE WAY APT A302

    MERIDIAN, ID 836421341

    Phone:

    Type: Mailing

  • 2537 W STATE ST STE 200

    BOISE, ID 837022200

    Phone: (208) 336-0895

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-07-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240725001193ICertified Registered Nurse Anesthetist (Crna)IDTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33022)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2668385287View full group profile
NameSpecialtyState
-ID
Certified Registered Nurse Anesthetist (Crna)SC
A N E S T H E S I O L O G YID
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YTN
Certified Registered Nurse Anesthetist (Crna)ID
A N E S T H E S I O L O G YMN
Certified Registered Nurse Anesthetist (Crna)ID
Certified Registered Nurse Anesthetist (Crna)ID
-ID

Reviews

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Frequently asked questions

What identifier follows NOZOMI GODFREY across health systems?
The NPI 1114673373 uniquely identifies NOZOMI GODFREY in U.S. healthcare data.
Does the public listing show NOZOMI GODFREY as active?
NOZOMI GODFREY's NPI record reflects an active status in NPPES.
What type of care does NOZOMI GODFREY provide?
NOZOMI GODFREY's profile centers on Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What city is tied to NOZOMI GODFREY?
The directory associates NOZOMI GODFREY with Hollywood, Florida. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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