ANDREA ANNMARIE GOULBOURNE-SMITH (APRN, PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1003397944
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
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Provider Addresses for ANDREA ANNMARIE GOULBOURNE-SMITH (APRN, PMHNP-BC)
Jackson Memorial Hospital, 1611, Northwest 12th Avenue, Miami, Miami-Dade County, Florida, 33136, United States
MIAMI, FL 33136
Phone: (305) 585-1111
Type: Location
18940 NW 10th St
Pembroke Pines, FL 330292927
Phone: (954) 815-5361
Type: Location
1611 nw 12th AVE
Miami, FL 33136
Phone: (305) 585-1111
Type: Location
1400 E Oakland Park Blvd Ste 210
Oakland Park, FL 333344400
Phone: (954) 561-6222
Fax: (954) 990-7650
Type: Location
7261 Sheridan St Ste 100B
Hollywood, FL 330242708
Phone: (954) 561-6222
Fax: (954) 990-7650
Type: Location
7261 SHERIDAN ST STE 100B
HOLLYWOOD, FL 330242708
Phone: (954) 561-6222
Fax: (954) 990-7650
Type: Location
1400 E OAKLAND PARK BLVD STE 210
OAKLAND PARK, FL 333344400
Phone: (954) 561-6222
Fax: (954) 990-7650
Type: Mailing
7261 SHERIDAN ST STE 340
HOLLYWOOD, FL 330242726
Phone: (954) 561-6222
Fax: (954) 990-7650
Type: Mailing
7369 SHERIDAN ST STE 101
HOLLYWOOD, FL 330242776
Phone: (954) 561-6222
Fax: (954) 990-7650
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 76 Open Payments records for all available years, with a total value of $1,731.
Total Amount is formed as General ($1,731) + Research ($0) + Ownership ($0) = $1,731.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($408).
Total Amount
$1,731
General + Research + Ownership
Payments
76
Total payment records
General Amount
$1,731
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Teva Pharmaceuticals USA, Inc. | $408 |
| Janssen Pharmaceuticals, Inc | $282 |
| Axsome Therapeutics, Inc. | $125 |
| Neurocrine BioSciences Inc. | $103 |
| Alkermes, Inc. | $98 |
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: 2021-02-18
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210218002293 | I | Nurse Practitioner | FL | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 153 | 38 | $0 |
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | 55 | 23 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 37 | 23 | $0 |
Insurance plans in this area (ZIP 33136)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| P S Y C H I A T R Y | FL | |
| Nurse Practitioner | FL | |
| P S Y C H I A T R Y | FL | |
| Clinical Social Worker | FL | |
| Nurse Practitioner | FL | |
| Clinical Social Worker | FL | |
| Nurse Practitioner | FL | |
| Clinical Social Worker | FL |
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