MRS. ALYSSA MICHELLE GOODWIN – Adult Health Nurse Practitioner, NPI 1215604343

MRS. ALYSSA MICHELLE GOODWIN is a healthcare provider. based in Troy, Ohio. specializing in NURSE PRACTITIONER. They hold a License No. APRN.CNP.0028282 (OH). The NPI Number for MRS. ALYSSA MICHELLE GOODWIN is 1215604343

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
MRS. ALYSSA MICHELLE GOODWIN
NPI
1215604343
Phone
Not provided
Address
600 W MAIN ST STE 340
Enumeration Date
26 August 2021
Last Update Date
31 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9372987751
Graduation Year
2020 (6 years ago)
PAC ID
9234527110
Group Practice PAC ID
3173710936
Professional Enrollment ID
I20211026001625
Address ID
OH454292405KE4441XAVEX400
Telehealth
Yes

Contacts

Secure Messaging
agoodwin777282@direct.ketteringhealth.org
FHIR Endpoint
https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness85
Years active:4State licenses:1Other namesUpdated within 12 months

14,984 NURSE PRACTITIONER in OH

Provider Addresses for MRS. ALYSSA MICHELLE GOODWIN

  • 600 W MAIN ST STE 340

    TROY, OH 453733384

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $501.

Total Amount is formed as General ($501) + Research ($0) + Ownership ($0) = $501.

Last reported payment date: 2024-05-18 • Largest payer in this snapshot: Axonics, Inc. ($358).

Total Amount

$501

General + Research + Ownership

Payments

7

Total payment records

General Amount

$501

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-18

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: 2021-10-26

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
I20211026001625INurse PractitionerOHTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes10383$0
99214Established patient office or other outpatient visit, 30-39 minutes10079$0
81003Automated urinalysis test8569$0
51798Ultrasound measurement of bladder capacity after voiding6660$0
99204New patient office or other outpatient visit, 45-59 minutes2323$0
View full utilization report →

Insurance plans in this area (ZIP 45373)

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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: 3173710936View full group profile
NameSpecialtyState
Geriatric Medicine, Hematology/OncologyIL
Nurse PractitionerOH
Hematology/Oncology, Internal MedicineOH
Radiation OncologyOH
Nurse PractitionerOH
O B S T E T R I C S/ G Y N E C O L O G YOH
Orthopedic SurgeryOH
Pulmonary Disease, Critical Care (Intensivists), Sleep MedicineOH
Physician AssistantOH
Hospitalist, Emergency MedicineOH

Reviews

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Frequently asked questions

What unique ID ties claims to MRS. ALYSSA MICHELLE GOODWIN?
NPI 1215604343 is assigned to MRS. ALYSSA MICHELLE GOODWIN under the national enumeration system.
Is MRS. ALYSSA MICHELLE GOODWIN currently active in the NPI registry?
CMS-published data lists MRS. ALYSSA MICHELLE GOODWIN as an active registrant.
What kind of provider is MRS. ALYSSA MICHELLE GOODWIN?
The page reflects Adult Health Nurse Practitioner for MRS. ALYSSA MICHELLE GOODWIN. Clinical services aligned with this taxonomy classification.
Where does public data place MRS. ALYSSA MICHELLE GOODWIN?
The snapshot lists Troy, Ohio for MRS. ALYSSA MICHELLE GOODWIN; download NPPES for the complete set.
What if Troy, Ohio seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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