KATELYN GOFF (PA) – Physician Assistant, NPI 1013506625

KATELYN GOFF (PA) is a healthcare provider. based in Big rapids, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 5601010273 (MI). The NPI Number for KATELYN GOFF (PA) is 1013506625

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
KATELYN GOFF (PA)
NPI
1013506625
Phone
(231) 592-1360
Address
20095 GILBERT RD
Enumeration Date
18 January 2021
Last Update Date
21 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2020 (6 years ago)
PAC ID
5496169807
Group Practice PAC ID
8527044551
Professional Enrollment ID
I20210126002676
Address ID
MI495468810GR4024XSEXX502
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness85
Years active:5State licenses:1Digital endpointsOther names

6,069 PHYSICIAN ASSISTANT in MI

Provider Addresses for KATELYN GOFF (PA)

  • 20095 GILBERT RD

    BIG RAPIDS, MI 493072365

    Phone: (231) 592-1360

    Fax: (231) 592-1361

    Type: Mailing

  • 4024 PARK EAST CT SE

    GRAND RAPIDS, MI 495468810

    Phone: (231) 592-1360

    Fax: (231) 592-1361

    Type: Location

  • 14671 TELEGRAPH RD

    REDFORD, MI 482393300

    Phone: (313) 948-3055

    Fax: (313) 948-3041

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 33 Open Payments records for all available years, with a total value of $1,616.

Total Amount is formed as General ($1,616) + Research ($0) + Ownership ($0) = $1,616.

Last reported payment date: 2024-09-10 • Largest payer in this snapshot: Medtronic, Inc. ($251).

Total Amount

$1,616

General + Research + Ownership

Payments

33

Total payment records

General Amount

$1,616

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-10

Latest reported date

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: 2021-01-26

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
I20210126002676IPhysician AssistantMITBD

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
J0897Injection, denosumab, 1 mg1,68112$0
81003Automated urinalysis test186128$0
99214Established patient office or other outpatient visit, 30-39 minutes144116$0
51798Ultrasound measurement of bladder capacity after voiding12199$0
99213Established patient office or other outpatient visit, 20-29 minutes4945$0
View full utilization report →

Insurance plans in this area (ZIP 49307)

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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: 8527044551View full group profile
NameSpecialtyState
-MI
Physician AssistantMI
Nurse PractitionerMI
Physician AssistantMI
Nurse PractitionerMI
Internal MedicineFL
Physician AssistantMI
-MI
Nurse PractitionerMI
-MI

Reviews

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Frequently asked questions

Is KATELYN GOFF (PA) listed with a National Provider Identifier?
Yes — KATELYN GOFF (PA) has NPI 1013506625 on file in the registry.
Active or inactive — what applies to KATELYN GOFF (PA)?
You should see KATELYN GOFF (PA) as active in CMS-hosted NPPES data.
How would a patient describe KATELYN GOFF (PA)'s focus?
For KATELYN GOFF (PA), the primary taxonomy reads as Physician Assistant. Clinical services aligned with this taxonomy classification.
What locale is associated with KATELYN GOFF (PA)?
Directory geography for KATELYN GOFF (PA) centers on Big Rapids, Michigan.
When was this NPI issued?
Enumeration for KATELYN GOFF (PA) is noted as January 18, 2021 where the registry provides it.

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