ALYSSA GOODWIN (MD) – Pediatrics Physician, NPI 1902886872
Pediatrics Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for ALYSSA GOODWIN (MD)
9746, Northwest Maring Drive, West Haven, Portland, Metro, Washington County, Oregon, 97229, United States
PORTLAND, ME 041045040
Phone: (207) 828-2449
Fax: (207) 828-7850
Type: Mailing
74, Baribeau Drive, Brunswick, Cumberland County, Maine, 04011, United States
BRUNSWICK, ME 040113218
Phone: (207) 798-4050
Fax: (207) 798-4018
Type: Location
9 BOWDOIN MILL IS
TOPSHAM, ME 040861263
Phone: (207) 467-5038
Type: Location
114 BATH RD
BRUNSWICK, ME 040112606
Phone: (207) 798-4400
Fax: (207) 798-4452
Type: Location
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: 2004-08-04
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040804000875 | I | Pediatric Medicine | ME | 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 04104)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MI | |
| Family Practice | ME | |
| Nurse Practitioner | ME | |
| - | ME | |
| - | ME | |
| Family Practice | ME | |
| - | ME | |
| Physician Assistant | ME | |
| Family Practice | ME | |
| Family Practice | ME |
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