DEBRA JO GOODALL (NP-C) – Nurse Practitioner, NPI 1659553782

DEBRA JO GOODALL (NP-C) is a healthcare provider. based in Rochester, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-C. They hold a License No. 4704220755 (MI). The NPI Number for DEBRA JO GOODALL (NP-C) is 1659553782

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
DEBRA JO GOODALL (NP-C)
NPI
1659553782
Phone
(248) 693-4212
Address
1101 W UNIVERSITY DR
Enumeration Date
30 November 2007
Last Update Date
16 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2482675050
Graduation Year
2007 (19 years ago)
PAC ID
8921197955
Group Practice PAC ID
7214299866
Professional Enrollment ID
I20071128000776
Address ID
MI480986375TR4600XDRXX301
Telehealth
Yes

Contacts

Secure Messaging
dgoodall11959@direct.beaumont.edu
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness95
Years active:18State licenses:1Other names

8,106 NURSE PRACTITIONER in MI

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Provider Addresses for DEBRA JO GOODALL (NP-C)

  • Ascension Providence Rochester Hospital, 1101, West University Drive, Rochester Hills, Oakland County, Michigan, 48307, United States

    ROCHESTER, MI 483071863

    Phone: (248) 693-4212

    Type: Mailing

  • 15959 Hall Rd Ste 304

    Macomb, MI 480445367

    Phone: (248) 267-5050

    Fax: (248) 267-5051

    Type: Location

  • 4550 Investment Dr Ste 250

    Troy, MI 480986362

    Phone: (248) 267-5050

    Fax: (248) 267-5051

    Type: Location

  • 39500 W 10 Mile Rd Ste 103

    Novi, MI 483752947

    Phone: (248) 267-5050

    Fax: (248) 267-5051

    Type: Location

  • 26901 BEAUMONT BLVD STE 3D

    SOUTHFIELD, MI 480333849

    Phone:

    Type: Mailing

  • 4600 INVESTMENT DR STE 200

    TROY, MI 480986375

    Phone: (248) 267-5050

    Fax: (248) 267-5051

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $234.

Total Amount is formed as General ($234) + Research ($0) + Ownership ($0) = $234.

Last reported payment date: 2023-09-12 • Largest payer in this snapshot: Medtronic, Inc. ($149).

Total Amount

$234

General + Research + Ownership

Payments

5

Total payment records

General Amount

$234

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-12

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: 2007-11-28

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
I20071128000776INurse 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
99214Established patient office or other outpatient visit, 30-39 minutes259224$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report204184$0
99215Established patient office or other outpatient visit, 40-54 minutes2927$0
View full utilization report →

Insurance plans in this area (ZIP 48307)

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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: 7214299866View full group profile
NameSpecialtyState
-MI
Hematology/Oncology, Internal MedicineMI
P S Y C H I A T R YMI
-MI
Internal Medicine, Cardiovascular Disease (Cardiology)MI
Interventional Cardiology, Cardiovascular Disease (Cardiology)MI
-MI
-MI
-MI
-MI

Reviews

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Frequently asked questions

What is the 10-digit NPI for DEBRA JO GOODALL (NP-C)?
DEBRA JO GOODALL (NP-C) — NPI 1659553782 — is the standard way to identify this listing.
Is DEBRA JO GOODALL (NP-C) still practicing?
DEBRA JO GOODALL (NP-C) is currently listed as active in the public NPI registry.
What healthcare role does DEBRA JO GOODALL (NP-C) hold?
Scheduling teams often label DEBRA JO GOODALL (NP-C) under Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where should I expect DEBRA JO GOODALL (NP-C) on a map?
Expect Rochester, Michigan as a primary anchor for DEBRA JO GOODALL (NP-C) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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