JESSICA L GDOVIN (PA-C) – Medical Physician Assistant, NPI 1528078912
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,223 PHYSICIAN ASSISTANT in NV
Provider Addresses for JESSICA L GDOVIN (PA-C)
3039 W HORIZON RIDGE PKWY STE 110
HENDERSON, NV 890524193
Phone: (702) 478-5111
Fax: (702) 602-9012
Type: Location
10624 S EASTERN AVE STE A PMB 873
STE A PMB 873
HENDERSON, NV 890526391
Phone: (702) 478-5111
Fax: (702) 602-9012
Type: Mailing
Parkway Surgery Center, 100, North Green Valley Parkway, Green Valley Ranch, Henderson, Clark County, Nevada, 89074, United States
SUITE #345
HENDERSON, NV 890746391
Phone: (702) 260-0600
Fax: (702) 260-4444
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 60 Open Payments records for all available years, with a total value of $1,276.
Total Amount is formed as General ($1,276) + Research ($0) + Ownership ($0) = $1,276.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($268).
Total Amount
$1,276
General + Research + Ownership
Payments
60
Total payment records
General Amount
$1,276
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $268 |
| Astellas Pharma US Inc | $202 |
| Exeltis, USA Inc. | $107 |
| MAYNE PHARMA COMMERCIAL LLC | $99 |
| Daiichi Sankyo Inc. | $64 |
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: 2006-11-20
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20061120000531 | I | Physician Assistant | NV | TBD |
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.
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 89052)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | CA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NV | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OK |
Reviews
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