TAMICHA ANDERSON GOODEN (ARNP) – Adult Health Nurse Practitioner, NPI 1740761485

TAMICHA ANDERSON GOODEN (ARNP) is a healthcare provider. based in Leesburg, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials ARNP. They hold a License No. 3327192 (FL). The NPI Number for TAMICHA ANDERSON GOODEN (ARNP) is 1740761485

Main info

Female
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
TAMICHA ANDERSON GOODEN (ARNP)
NPI
1740761485
Phone
(352) 750-5001
Address
601 E DIXIE AVE STE 805
Enumeration Date
21 August 2018
Last Update Date
13 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4078415111
Graduation Year
2018 (8 years ago)
PAC ID
8123121191
Group Practice PAC ID
9537059084
Professional Enrollment ID
I20181204003948
Address ID
FL328061110OR52XXXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:7State licenses:2Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for TAMICHA ANDERSON GOODEN (ARNP)

  • 601 E DIXIE AVE STE 805

    LEESBURG, FL 347485994

    Phone: (352) 750-5001

    Fax: (352) 750-8401

    Type: Mailing

  • 1414 E Main St

    Leesburg, FL 347485399

    Phone: (352) 728-3898

    Fax: (352) 728-6240

    Type: Location

  • County Road 462, Wildwood, Sumter County, Florida, 34785, United States

    WILDWOOD, FL 347858587

    Phone: (352) 303-5878

    Fax: (352) 330-0335

    Type: Mailing

  • 600, Dixie Avenue, Leesburg, Lake County, Florida, 34748, United States

    LEESBURG, FL 34748

    Phone: (352) 323-5762

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 26 Open Payments records for all available years, with a total value of $585.

Total Amount is formed as General ($585) + Research ($0) + Ownership ($0) = $585.

Last reported payment date: 2024-10-31 • Largest payer in this snapshot: Astellas Pharma US Inc ($183).

Total Amount

$585

General + Research + Ownership

Payments

26

Total payment records

General Amount

$585

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-31

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2018-12-04

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
I20181204003948INurse PractitionerFLTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes12774$0
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination8585$0
99212Established patient office or other outpatient visit, 10-19 minutes4040$0
Q0091Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory3535$0
99203New patient office or other outpatient visit, 30-44 minutes3131$0
View full utilization report →

Insurance plans in this area (ZIP 34748)

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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: 9537059084View full group profile
NameSpecialtyState
Internal MedicineFL
O B S T E T R I C S/ G Y N E C O L O G YNY
Nurse PractitionerFL
Internal MedicineFL
Vascular Surgery, General SurgeryFL
Physical Therapist In Private PracticeFL
Sports MedicineOH
Nurse PractitionerFL
Internal MedicineFL
Internal MedicineIA

Reviews

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Frequently asked questions

What unique ID ties claims to TAMICHA ANDERSON GOODEN (ARNP)?
NPI 1740761485 is assigned to TAMICHA ANDERSON GOODEN (ARNP) under the national enumeration system.
Is TAMICHA ANDERSON GOODEN (ARNP)'s NPI currently valid?
The extract we use shows TAMICHA ANDERSON GOODEN (ARNP) as active.
What kind of provider is TAMICHA ANDERSON GOODEN (ARNP)?
The page reflects Adult Health Nurse Practitioner for TAMICHA ANDERSON GOODEN (ARNP). Clinical services aligned with this taxonomy classification.
What location metadata exists for TAMICHA ANDERSON GOODEN (ARNP)?
The page summarizes Leesburg, Florida for TAMICHA ANDERSON GOODEN (ARNP); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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