MRS. STACEY MICHELLE GOODMAN (MSN, RN, ANP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1417258963
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,105 NURSE PRACTITIONER in MI
Provider Addresses for MRS. STACEY MICHELLE GOODMAN (MSN, RN, ANP-BC)
1135 W UNIVERSITY DR
SUITE 425
ROCHESTER, MI 483071871
Phone: (248) 650-5861
Type: Mailing
441 S LIVERNOIS RD STE 100
ROCHESTER HILLS, MI 483072585
Phone: (248) 608-8800
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $513.
Total Amount is formed as General ($513) + Research ($0) + Ownership ($0) = $513.
Last reported payment date: 2024-06-20 • Largest payer in this snapshot: Corium, LLC ($131).
Total Amount
$513
General + Research + Ownership
Payments
12
Total payment records
General Amount
$513
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Corium, LLC | $131 |
| Tris Pharma Inc | $128 |
| Novo Nordisk Inc | $125 |
| Supernus Pharmaceuticals, Inc. | $29 |
| Teva Pharmaceuticals USA, Inc. | $26 |
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: 2010-12-21
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 |
|---|---|---|---|---|
| I20101221001125 | I | Nurse Practitioner | MI | 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 48307)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | MI | |
| Mental Health Counselor | MI | |
| Physician Assistant | MI | |
| Physician Assistant | MI | |
| Physician Assistant | MI | |
| Physician Assistant | MI | |
| Nurse Practitioner | MI | |
| - | MI | |
| Mental Health Counselor | MI | |
| P S Y C H I A T R Y | MI |
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