MICHAEL GOEDKEN (CNP OR PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1598227977

MICHAEL GOEDKEN (CNP OR PMHNP-BC) is a healthcare provider. based in Eagan, Minnesota. specializing in NURSE PRACTITIONER. They hold the professional credentials CNP OR PMHNP-BC. They hold a License No. 6495 (MN). The NPI Number for MICHAEL GOEDKEN (CNP OR PMHNP-BC) is 1598227977

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL GOEDKEN (CNP OR PMHNP-BC)
NPI
1598227977
Phone
(651) 289-7300
Address
2781 PILOT KNOB RD
Enumeration Date
3 April 2019
Last Update Date
3 April 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6512897300
Graduation Year
2018 (8 years ago)
PAC ID
0547595787
Group Practice PAC ID
5193824803
Professional Enrollment ID
I20190711000044
Address ID
MN551211119EA2781XRDXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

5,720 NURSE PRACTITIONER in MN

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Provider Addresses for MICHAEL GOEDKEN (CNP OR PMHNP-BC)

  • 2781, Pilot Knob Road, Eagan, Dakota County, Minnesota, 55121, United States

    EAGAN, MN 551211119

    Phone: (651) 289-7300

    Type: Location

  • 307, Grandview Avenue West, Roseville, Ramsey County, Minnesota, 55113, United States

    ROSEVILLE, MN 551134701

    Phone: (651) 353-0571

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $37.

Total Amount is formed as General ($37) + Research ($0) + Ownership ($0) = $37.

Last reported payment date: 2023-09-07 • Largest payer in this snapshot: Corium, LLC ($24).

Total Amount

$37

General + Research + Ownership

Payments

3

Total payment records

General Amount

$37

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-07

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2019-07-11

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
I20190711000044INurse PractitionerMNTBD

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 minutes7218$0
99205New patient office or other outpatient visit, 60-74 minutes1616$0
View full utilization report →

Insurance plans in this area (ZIP 55121)

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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: 5193824803View full group profile
NameSpecialtyState
P S Y C H I A T R YMN

Reviews

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Frequently asked questions

What identifier follows MICHAEL GOEDKEN (CNP OR PMHNP-BC) across health systems?
The NPI 1598227977 uniquely identifies MICHAEL GOEDKEN (CNP OR PMHNP-BC) in U.S. healthcare data.
Should I treat MICHAEL GOEDKEN (CNP OR PMHNP-BC) as an active provider?
Patients and plans typically see MICHAEL GOEDKEN (CNP OR PMHNP-BC) as active in the national extract.
What type of care does MICHAEL GOEDKEN (CNP OR PMHNP-BC) provide?
MICHAEL GOEDKEN (CNP OR PMHNP-BC)'s profile centers on Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to MICHAEL GOEDKEN (CNP OR PMHNP-BC)?
MICHAEL GOEDKEN (CNP OR PMHNP-BC) shows a connection to Eagan, Minnesota in registry-derived data.
Can I export MICHAEL GOEDKEN (CNP OR PMHNP-BC)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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