Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jaxson D Gosnell

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1750092763

Jaxson D Gosnell is a Physician Assistant in Phoenix, Arizona. Qualified in 2023, 3 years ago. Practices with Empower St Josephs PLLC, a 50-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
3
Licensed in
AZ
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

435 N 5th St
Phoenix, AZ 85004-2157
Phone: (602) 451-2451
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9994 (AZ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1750092763
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 9, 2022
Last updated in NPPESOctober 12, 2023
Certification dateOctober 12, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Empower St Josephs Pllc — 50 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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