DAVINA GODFREY
NPI 1821592429
Nurse Practitioner - Gerontology in Eagan, MN
About Davina Godfrey NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DAVINA GODFREY (NPI 1821592429) is an individual gerontology provider in Eagan, Minnesota, licensed in Texas (1180274) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Davina Godfrey is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Davina Godfrey reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Katy, TX 77494
- Reassigned Medicare billing, Texas enrollment
- 7 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55121 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
EAGAN, MN 55121
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Davina Godfrey's NPI number?
The NPI number for Davina Godfrey is 1821592429. It was assigned to this individual provider in the NPPES registry on March 20, 2018.
Where is Davina Godfrey located?
Davina Godfrey practices at PO Box 211699, Eagan, MN 55121. The listed phone number is (866) 849-0692.
What is Davina Godfrey's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
Is Davina Godfrey enrolled in Medicare?
Yes. Davina Godfrey is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Davina Godfrey's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Davina Godfrey reassigns Medicare benefits to Medcomplete LLC (Katy, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Davina Godfrey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Davina Godfrey was last updated on September 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.
# Davina Godfrey · NPI 1821592429
Gerontology physician in Eagan, Minnesota. Individual provider, active in the CMS NPPES registry since March 20, 2018.
## Identity
- **NPI:** 1821592429 (Entity type: Individual)
- **Enumerated:** March 20, 2018
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** 1180274 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** PO BOX 211699, Eagan, MN 55121-3699
- **Phone:** (866) 849-0692
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Medcomplete LLC (NPI 1790221505, Katy, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 30, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1821592429) · Data from the CMS NPPES public registry.