JENNY KATHLEEN GOBER MCDANIEL MD
NPI 1922395649
Pediatrics - Pediatric Hematology-Oncology in Las Vegas, NV

Q: What is Jenny Gober Mcdaniel's NPI number?

The NPI number for Jenny Gober Mcdaniel is 1922395649. It was assigned to this individual provider in the NPPES registry on July 1, 2011.

Q: What is Jenny Gober Mcdaniel's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Active since July 01, 2011PECOS EnrolledAccepts Medicare Assignment

8352 W WARM SPRINGS RD STE 200, LAS VEGAS, NV 89113(702) 330-0555(702) 832-1128 Get Directions Write a Review

NPPES record last updated: July 29, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 6, 2025, Dec 19, 2024, Oct 26, 2020 and 2 more (5 updates tracked since 2017).

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About Jenny Kathleen Gober Mcdaniel Md NPPES

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

JENNY KATHLEEN GOBER MCDANIEL MD (NPI 1922395649) is an individual pediatric hematology-oncology provider in Las Vegas, Nevada, licensed in Nevada (26872) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS, maintains a secondary practice location in Reno, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1922395649

Entity TypeIndividualFemale

Primary Taxonomy2080P0207X

Provider Legal NameJENNY KATHLEEN GOBER MCDANIELCredential: MD

Location Address8352 W WARM SPRINGS RD STE 200Las Vegas, NV 89113-3629

Mailing Address8352 W Warm Springs Rd Ste 200Las Vegas, NV 89113-3629 · (702) 330-0555 · Fax (702) 832-1128

Phone(702) 330-0555

Fax(702) 832-1128

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateJuly 1, 2011

Last NPPES UpdateJuly 29, 20255 updates tracked since enumeration

NPPES CertifiedJuly 29, 2025

✔ NPI 1922395649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0207X

Licenses✔ Licensed in NV · 26872✔ Licensed in NC · 2017-01884

Definition

A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

Also ListedPediatricsTaxonomy 208000000X · License LL33830 (SC), 2017-01884 (NC)

8352 W WARM SPRINGS RD STE 200, Las Vegas, NV 89113

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Secondary Practice Location 1

Location 16880 S McCarran Blvd Ste 4Reno, NV 89509-6129 · Phone (702) 330-0555

Other Identifiers 1

Medicaid250036193NV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jenny Kathleen Gober Mcdaniel Md 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 ID9931323805

PECOS Enrollment IDI20250306003099

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 8

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

MICHAEL GRAHAM MD

Pediatrics (Pediatric Hematology-Oncology)