JUDITH MIRIAM GOYKHMAN (APN) – Family Nurse Practitioner, NPI 1063167849

JUDITH MIRIAM GOYKHMAN (APN) is a healthcare provider. based in Chicago, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials APN. They hold a License No. 209.024812 (IL). The NPI Number for JUDITH MIRIAM GOYKHMAN (APN) is 1063167849

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
JUDITH MIRIAM GOYKHMAN (APN)
NPI
1063167849
Phone
(862) 213-6117
Address
3045 WEST CHASE AVENUE
Enumeration Date
19 February 2022
Last Update Date
15 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8475739663
Graduation Year
2020 (6 years ago)
PAC ID
8022531441
Group Practice PAC ID
6204925415
Professional Enrollment ID
I20250326002785
Address ID
IL600485249LI1900XDRXX301
Telehealth
Yes

Contacts

Other Endpoint
DHS
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness85
Years active:4State licenses:1Other namesUpdated within 12 months

11,637 NURSE PRACTITIONER in IL

Provider Addresses for JUDITH MIRIAM GOYKHMAN (APN)

  • 3045 WEST CHASE AVENUE

    CHICAGO, IL 60645

    CHICAGO, IL 60645

    Phone: (862) 213-6117

    Type: Mailing

  • 1875 W DEMPSTER ST STE 110

    PARK RIDGE, IL 600681125

    Phone: (847) 897-9010

    Type: Location

  • 1509 N WESTERN AVE UNIT A

    CHICAGO, IL 606222416

    Phone: (773) 227-3303

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $99.

Total Amount is formed as General ($99) + Research ($0) + Ownership ($0) = $99.

Last reported payment date: 2024-10-29 • Largest payer in this snapshot: Novo Nordisk Inc ($40).

Total Amount

$99

General + Research + Ownership

Payments

4

Total payment records

General Amount

$99

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-29

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: 2025-03-26

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
I20250326002785INurse PractitionerILTBD

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 60645)

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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: 6204925415View full group profile
NameSpecialtyState
Nurse PractitionerIL
Internal MedicineIL
Nurse PractitionerIL
Internal MedicineIL
Nurse PractitionerIL
-IL
Internal MedicineIL

Reviews

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Frequently asked questions

Where can patients find JUDITH MIRIAM GOYKHMAN (APN)'s NPI?
You can confirm JUDITH MIRIAM GOYKHMAN (APN) with NPI 1063167849; it appears in the national provider directory.
Does this profile mean JUDITH MIRIAM GOYKHMAN (APN) is currently active?
Yes — JUDITH MIRIAM GOYKHMAN (APN) appears active in the national provider directory.
Can you summarize JUDITH MIRIAM GOYKHMAN (APN)'s specialty in plain language?
Clinically, the directory lists JUDITH MIRIAM GOYKHMAN (APN) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place JUDITH MIRIAM GOYKHMAN (APN)?
The snapshot lists Chicago, Illinois for JUDITH MIRIAM GOYKHMAN (APN); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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