ANGELA C GOOKIN (CNM) – Advanced Practice Midwife, NPI 1629392915
Advanced Practice Midwife
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
55 CERTIFIED NURSE MIDWIFE (CNM) in AK
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Provider Addresses for ANGELA C GOOKIN (CNM)
5955 ZEAMER AVE
JBER, AK 995063702
Phone: (907) 580-4016
Fax: (907) 580-1373
Type: Mailing
5955, Zeamer Avenue, Anchorage, Alaska, 99506, United States
673D MDG
JBER, AK 995063702
Phone: (907) 580-4016
Fax: (907) 580-1373
Type: Location
3000 Providence Dr.
Anchorage, AK 99508
Phone: (907) 212-5120
Type: Location
3533, North Inspiration Loop, Wasilla, Matanuska-Susitna Borough, Alaska, 99654, United States
WASILLA, AK 996541254
Phone: (850) 218-0548
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2024-10-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220504000676 | I | Certified Nurse Midwife (Cnm) | AK | TBD |
| I20241004002953 | I | Certified Nurse Midwife (Cnm) | TX | TBD |
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.
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 99506)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | AK | |
| - | AK | |
| Internal Medicine | NY | |
| - | AK | |
| Diagnostic Radiology | NC | |
| Nurse Practitioner | AK | |
| Family Practice | AK | |
| A N E S T H E S I O L O G Y | IN | |
| A N E S T H E S I O L O G Y | WA | |
| Certified Nurse Midwife (Cnm) | AK |
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