TAMARA SUE GODA (APRN) – Nurse Practitioner, NPI 1548455850

TAMARA SUE GODA (APRN) is a healthcare provider. based in Youngstown, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. APRN11016181 (FL). The NPI Number for TAMARA SUE GODA (APRN) is 1548455850

Main info

Female
35 Years Of Experience
Accepts Medicare Assignment
Name
TAMARA SUE GODA (APRN)
NPI
1548455850
Phone
(330) 744-2118
Address
540 PARMALEE AVE
Enumeration Date
10 September 2007
Last Update Date
30 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9042027300
Graduation Year
1991 (35 years ago)
PAC ID
7315018652
Group Practice PAC ID
5991932063
Professional Enrollment ID
I20211217001834
Address ID
FL322078432JA1301XAVEX300

Contacts

Secure Messaging
tgoda35945@vidanthealth.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness85
Years active:18State licenses:1Other namesUpdated within 12 months

14,984 NURSE PRACTITIONER in OH

Provider Addresses for TAMARA SUE GODA (APRN)

  • 540 PARMALEE AVE

    YOUNGSTOWN, OH 445101716

    Phone: (330) 744-2118

    Fax: (330) 744-2110

    Type: Mailing

  • PO BOX 40767

    JACKSONVILLE, FL 322030767

    Phone: (904) 376-3707

    Fax: (904) 391-5001

    Type: Mailing

  • 1301 PALM AVE

    JACKSONVILLE, FL 322078432

    Phone: (904) 202-7300

    Type: Location

  • PO BOX 746654

    ATLANTA, GA 303746654

    Phone: (904) 202-2092

    Fax: (904) 376-4075

    Type: Mailing

  • 1301 PALM AVE STE 600

    JACKSONVILLE, FL 322078457

    Phone: (904) 202-7300

    Fax: (904) 202-2754

    Type: Location

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 $150.

Total Amount is formed as General ($150) + Research ($0) + Ownership ($0) = $150.

Last reported payment date: 2023-10-17 • Largest payer in this snapshot: Davol Inc. ($115).

Total Amount

$150

General + Research + Ownership

Payments

3

Total payment records

General Amount

$150

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-17

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Davol Inc.$115
KCI USA, Inc.$36
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: 2021-12-17

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
I20211217001834INurse PractitionerFLTBD

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 minutes10288$0
99214Established patient office or other outpatient visit, 30-39 minutes3231$0
View full utilization report →

Insurance plans in this area (ZIP 44510)

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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: 5991932063View full group profile

Reviews

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Frequently asked questions

Does TAMARA SUE GODA (APRN) have a public NPI I can cite?
Public records show TAMARA SUE GODA (APRN) under NPI 1548455850.
Does the public listing show TAMARA SUE GODA (APRN) as active?
TAMARA SUE GODA (APRN)'s NPI record reflects an active status in NPPES.
How should patients interpret TAMARA SUE GODA (APRN)'s specialty?
The extract shows Nurse Practitioner for TAMARA SUE GODA (APRN). Clinical services aligned with this taxonomy classification.
What geographic area is tied to TAMARA SUE GODA (APRN)?
TAMARA SUE GODA (APRN) is associated with Youngstown, Ohio in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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