MRS. CHANA NICOLE GOODIN (PA-C) – Physician Assistant, NPI 1932444692
Physician Assistant
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MRS. CHANA NICOLE GOODIN (PA-C)
3702 NEW VISION DR BLDG B
FORT WAYNE, IN 468451703
Phone: (260) 373-9700
Fax: (260) 373-9740
Type: Mailing
11104 PARKVIEW CIRCLE DR STE 310
FORT WAYNE, IN 468451733
Phone: (260) 266-5230
Fax: (260) 266-5238
Type: Location
PO BOX 236
LAGRANGE, IN 467610236
Phone: (260) 463-2133
Fax: (260) 463-3775
Type: Mailing
11104 Parkview Circle Dr Ste 330
Fort Wayne, IN 468451674
Phone: (260) 494-3484
Fax: (260) 969-0188
Type: Location
7836 W Jefferson Blvd
Suite 101
Fort Wayne, IN 468044165
Phone: (260) 494-3484
Fax: (260) 969-0188
Type: Location
2500 N DETROIT ST
LAGRANGE, IN 467611158
Phone: (260) 463-2133
Fax: (260) 463-3775
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $144.
Total Amount is formed as General ($144) + Research ($0) + Ownership ($0) = $144.
Last reported payment date: 2024-01-30 • Largest payer in this snapshot: Fresenius USA Marketing, Inc. ($43).
Total Amount
$144
General + Research + Ownership
Payments
7
Total payment records
General Amount
$144
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-01-30
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2013-04-23
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 |
|---|---|---|---|---|
| I20130423000074 | I | Physician Assistant | IN | 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 46845)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IN | |
| Nurse Practitioner | NM | |
| - | IN | |
| Nurse Practitioner | IN | |
| Family Practice | IN | |
| - | IN | |
| - | IN | |
| Infectious Disease | IN | |
| Internal Medicine | IN | |
| - | IN |
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