JOSHUA GLEN GOOCH (CRNP) – Acute Care Nurse Practitioner, NPI 1073299640

JOSHUA GLEN GOOCH (CRNP) is a healthcare provider. based in Birmingham, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. 1-178677 (AL). The NPI Number for JOSHUA GLEN GOOCH (CRNP) is 1073299640

Main info

Male
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
JOSHUA GLEN GOOCH (CRNP)
NPI
1073299640
Phone
(205) 971-7500
Address
3680 Grandview Pkwy Ste 200
Enumeration Date
27 June 2023
Last Update Date
18 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2059711000
Graduation Year
2023 (3 years ago)
PAC ID
1759745672
Group Practice PAC ID
1658680434
Professional Enrollment ID
I20230912000282
Address ID
AL352433326BI3690XPKWY300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

Provider Addresses for JOSHUA GLEN GOOCH (CRNP)

  • 3680 Grandview Pkwy Ste 200

    Birmingham, AL 352433411

    Phone: (205) 971-7500

    Fax: (205) 971-7571

    Type: Location

  • 3680 GRANDVIEW PKWY STE 200

    BIRMINGHAM, AL 352433411

    Phone: (205) 971-7500

    Fax: (205) 971-7571

    Type: Mailing

  • 3690 GRANDVIEW PKWY

    BIRMINGHAM, AL 352433326

    Phone: (205) 971-7500

    Fax: (205) 971-7571

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 50 Open Payments records for all available years, with a total value of $1,289.

Total Amount is formed as General ($1,289) + Research ($0) + Ownership ($0) = $1,289.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) ($417).

Total Amount

$1,289

General + Research + Ownership

Payments

50

Total payment records

General Amount

$1,289

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-09-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230912000282INurse PractitionerALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 35243)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1658680434View full group profile
NameSpecialtyState
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineAL
-AL
Nurse PractitionerAL
Nurse PractitionerAL
Cardiovascular Disease (Cardiology)IL
Nurse PractitionerAL
-AL
Cardiovascular Disease (Cardiology)AL
Cardiovascular Disease (Cardiology), Interventional CardiologyAL
-AL

Reviews

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Frequently asked questions

What is the registry number for JOSHUA GLEN GOOCH (CRNP)?
The registry entry for JOSHUA GLEN GOOCH (CRNP) shows NPI 1073299640.
Does the public listing show JOSHUA GLEN GOOCH (CRNP) as active?
JOSHUA GLEN GOOCH (CRNP)'s NPI record reflects an active status in NPPES.
Which specialty label fits JOSHUA GLEN GOOCH (CRNP)?
NPPES ties JOSHUA GLEN GOOCH (CRNP) to Acute Care Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to JOSHUA GLEN GOOCH (CRNP)?
JOSHUA GLEN GOOCH (CRNP) is associated with Birmingham, Alabama in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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