NOZOMI GODFREY
NPI 1114673373
Nurse Anesthetist, Certified Registered in Boise, ID

Q: What is Nozomi Godfrey's NPI number?

The NPI number for Nozomi Godfrey is 1114673373. It was assigned to this individual provider in the NPPES registry on February 26, 2022.

Q: What is Nozomi Godfrey's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Nozomi Godfrey was last updated on June 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 26, 2022Accepts Medicare Assignment

2537 W STATE ST STE 200, BOISE, ID 83702(208) 336-0895 Get Directions Write a Review

NPPES record last updated: June 24, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 24, 2024, Feb 26, 2022 (2 updates tracked since 2022).

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About Nozomi Godfrey NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NOZOMI GODFREY (NPI 1114673373) is an individual nurse anesthetist, certified registered in Boise, Idaho, licensed in Idaho (79582) and active in the NPI registry since February 2022. She is affiliated with St Luke's Regional Medical Center and is a graduate of Other (2012).

NPPES Registry Identity

NPI1114673373

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameNOZOMI GODFREY

Location Address2537 W STATE ST STE 200Boise, ID 83702-2200

Mailing Address1066 S Silverstone Way Apt A302Meridian, ID 83642-1341

Phone(208) 336-0895

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateFebruary 26, 2022

Last NPPES UpdateJune 24, 20242 updates tracked since enumeration

NPPES CertifiedJune 24, 2024

✔ NPI 1114673373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in ID · 79582

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

2537 W STATE ST STE 200, Boise, ID 83702

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nozomi Godfrey is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6103362207

PECOS Enrollment IDI20240725001193

Medicare Billing Reassignment

Medicare enrollment records show Nozomi Godfrey reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Anesthesia Associates Of Boise, P.A.

2.1 mi

Specialist

338 E BANNOCK ST
Boise, ID 83712

Reassigned Medicare billing, Idaho enrollment
233 clinicians in this Medicare group

NPI 1033147467 (208) 336-0895

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number130006

Location190 East Bannock StreetBoise, ID 83712 · Ada County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83702 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$121.27 typical visit price

range $52.44 – $160.17

Typical copayment $30.31 (range $13.11 – $40.04)

Most-billed visit code 99204

Established Patient

$65.77 typical visit price

range $16.68 – $130.93

Typical copayment $16.44 (range $4.17 – $32.73)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JESSE D VINCENT

Nurse Anesthetist, Certified Registered