MRS. AMY BETH GOORMAN (NP) – Nurse Practitioner, NPI 1922108083
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,106 NURSE PRACTITIONER in MI
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Provider Addresses for MRS. AMY BETH GOORMAN (NP)
25, Michigan Street Northeast, Grand Rapids, Kent County, Michigan, 49503, United States
SUITE 3300
GRAND RAPIDS, MI 495032515
Phone: (616) 459-4171
Fax: (616) 459-0044
Type: Mailing
20952 E 12 MILE RD STE 200
SAINT CLAIR SHORES, MI 480813203
Phone: (586) 771-4820
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 70 Open Payments records for all available years, with a total value of $1,975.
Total Amount is formed as General ($1,975) + Research ($0) + Ownership ($0) = $1,975.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Sumitomo Pharma America, Inc. ($337).
Total Amount
$1,975
General + Research + Ownership
Payments
70
Total payment records
General Amount
$1,975
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Sumitomo Pharma America, Inc. | $337 |
| PROCEPT BioRobotics Corporation | $297 |
| COLOPLAST CORP | $234 |
| Boston Scientific Corporation | $121 |
| Astellas Pharma US Inc | $94 |
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: 2007-02-15
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 |
|---|---|---|---|---|
| I20070215000632 | 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 49503)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| U R O L O G Y | MI | |
| U R O L O G Y | MI | |
| U R O L O G Y | OK | |
| Radiation Oncology | FL | |
| Nurse Practitioner | MI | |
| U R O L O G Y | MI | |
| U R O L O G Y | MI | |
| U R O L O G Y | MI | |
| Physical Therapist In Private Practice | MI | |
| U R O L O G Y | MI |
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