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

Jorge Godinez, PA-C

Individual provider Physician Assistant · NPI 1831075415

Jorge Godinez, PA-C is a Physician Assistant in Wichita, Kansas. Qualified in 2025, 1 year ago. Practices with Cep America - Kansas LLC, a 59-clinician group and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
1
Licensed in
KS
In the registry since
2025
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

929 N Saint Francis Ave
Wichita, KS 67214-3821
Phone: (316) 268-5757
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 15-03148 (KS)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1831075415
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedAugust 12, 2025
Last updated in NPPESNovember 5, 2025
Certification dateNovember 5, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Cep America - Kansas Llc — 59 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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