JENNIFER GOODIN (FNP) – Family Nurse Practitioner, NPI 1174129381

JENNIFER GOODIN (FNP) is a healthcare provider. based in Mount clemens, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 4704281359 (MI). The NPI Number for JENNIFER GOODIN (FNP) is 1174129381

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER GOODIN (FNP)
NPI
1174129381
Phone
(586) 783-2222
Address
18 MARKET ST STE C
Enumeration Date
11 December 2020
Last Update Date
21 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5867832222
Graduation Year
2020 (6 years ago)
PAC ID
5294193231
Group Practice PAC ID
6406039403
Professional Enrollment ID
I20230622002913
Address ID
MI480437403MO18XXXCXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

8,105 NURSE PRACTITIONER in MI

Provider Addresses for JENNIFER GOODIN (FNP)

  • 18 MARKET ST STE C

    MOUNT CLEMENS, MI 480437403

    Phone: (586) 783-2222

    Fax: (583) 783-6380

    Type: Location

  • 1943 HOLLAND AVE

    PORT HURON, MI 480601519

    Phone: (810) 357-4945

    Fax: (810) 985-5454

    Type: Mailing

  • 6900 E 10 Mile Rd

    Center Line, MI 480151168

    Phone: (586) 756-7777

    Fax: (586) 756-7788

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 21 Open Payments records for all available years, with a total value of $384.

Total Amount is formed as General ($384) + Research ($0) + Ownership ($0) = $384.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($53).

Total Amount

$384

General + Research + Ownership

Payments

21

Total payment records

General Amount

$384

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2023-06-22

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
I20230622002913INurse PractitionerMITBD

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
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes6329$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes4922$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes3816$0
View full utilization report →

Insurance plans in this area (ZIP 48043)

Loading plans...

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: 6406039403View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Is there an official ID for JENNIFER GOODIN (FNP) in U.S. healthcare records?
The official identifier for JENNIFER GOODIN (FNP) is NPI 1174129381.
Active or inactive — what applies to JENNIFER GOODIN (FNP)?
You should see JENNIFER GOODIN (FNP) as active in CMS-hosted NPPES data.
What area of care is associated with JENNIFER GOODIN (FNP)?
JENNIFER GOODIN (FNP)'s record emphasizes Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is JENNIFER GOODIN (FNP) associated with Mount Clemens?
Public fields place JENNIFER GOODIN (FNP) around Mount Clemens, Michigan. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

Similar Providers

MCRMC PROFESSIONAL ONCOLOGY BILLING LLC

Orthopaedic Surgery Physician
1080 HARRINGTON BLVD
NPI: 1366645806

JACLYN SUZETTE KOURNOIAN (NP-C)

Family Nurse Practitioner
McLaren Macomb, 1000, Harrington Street, Mount Clemens, Clinton Township, Macomb County, Michigan, 48043, United States
NPI: 1386970739

MARGARET PERRY (NP-C)

Family Nurse Practitioner
1000 HARRINGTON ST
NPI: 1346544145

MRS. ALISSA MARIE CLYNE (FNP-BC)

Family Nurse Practitioner
1000 HARRINGTON ST
NPI: 1699032011

HOLLY SHEMAMI (FNP)

Family Nurse Practitioner
1000 HARRINGTON ST
NPI: 1144649872

JENNIFER GAMBLE (NP-C)

Adult Health Nurse Practitioner
298 S OLD WOODWARD AVE
NPI: 1932599073

NICOLE CHERIE WILLIAMS (NPC)

Family Nurse Practitioner
133 S MAIN ST
NPI: 1396111860

BETHANY JEAN GADD (MSN, RN, FNP-BC)

Family Nurse Practitioner
1000 Harrington St
NPI: 1760993828

CHRISTINE M ALLOR (FNP-C)

Family Nurse Practitioner
1750, Busha Highway, Marysville, Saint Clair County, Michigan, 48040, United States
NPI: 1356834600