JENNIFER GOODIN (APRN) – Nurse Practitioner, NPI 1215687199
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
14,984 NURSE PRACTITIONER in OH
Provider Addresses for JENNIFER GOODIN (APRN)
9000 N Main St Ste 405
Englewood, OH 454151170
Phone: (937) 320-5050
Type: Location
415 Byers Rd Ste 100
Miamisburg, OH 453423684
Phone: (937) 320-5050
Type: Location
4200 Indian Ripple Rd
Dayton, OH 454403248
Phone: (937) 320-5050
Type: Location
1658 MIDDLE PARK DR
DAYTON, OH 454141532
Phone: (937) 469-6967
Type: Mailing
400 CORPORATE DR.
DAYTON, OH 453771532
Phone: (937) 454-5296
Type: Location
PO BOX 381468
GERMANTOWN, TN 381831468
Phone:
Type: Mailing
75 SYLVANIA DR
DAYTON, OH 454403237
Phone: (937) 320-5050
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 331 Open Payments records for all available years, with a total value of $5,020.
Total Amount is formed as General ($5,020) + Research ($0) + Ownership ($0) = $5,020.
Last reported payment date: 2024-12-27 • Largest payer in this snapshot: ABBVIE INC. ($1,208).
Total Amount
$5,020
General + Research + Ownership
Payments
331
Total payment records
General Amount
$5,020
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $1,208 |
| Lilly USA, LLC | $462 |
| GlaxoSmithKline, LLC. | $399 |
| Corcept Therapeutics | $386 |
| AstraZeneca Pharmaceuticals LP | $350 |
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: 2022-08-16
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 |
|---|---|---|---|---|
| I20220816000568 | I | Nurse Practitioner | OH | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 188 | 114 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 39 | 39 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 36 | 33 | $0 |
| 81003 | Automated urinalysis test | 29 | 25 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 27 | 11 | $0 |
Insurance plans in this area (ZIP 45415)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | OH | |
| Family Practice | SC | |
| Nurse Practitioner | OH | |
| - | OH | |
| Nurse Practitioner | OH | |
| - | OH | |
| Nurse Practitioner | OH | |
| Rheumatology, Internal Medicine | OH | |
| Nurse Practitioner | OH | |
| Family Practice | OH |
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