HUNTER GOODMAN (APRN, CNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1144043936

HUNTER GOODMAN (APRN, CNP) is a healthcare provider. based in Yukon, Oklahoma. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN, CNP. They hold a License No. 220566 (OK). The NPI Number for HUNTER GOODMAN (APRN, CNP) is 1144043936

Main info

Male
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
HUNTER GOODMAN (APRN, CNP)
NPI
1144043936
Phone
(405) 350-8100
Address
508 W VANDAMENT AVE STE 100
Enumeration Date
1 November 2024
Last Update Date
1 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4053508100
Graduation Year
2024 (2 years ago)
PAC ID
9638605579
Group Practice PAC ID
4688848369
Professional Enrollment ID
I20241216001126
Address ID
OK730994665YU508XXAVEX409
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

3,299 NURSE PRACTITIONER in OK

Provider Addresses for HUNTER GOODMAN (APRN, CNP)

  • 508 W VANDAMENT AVE STE 100

    YUKON, OK 730994665

    Phone: (405) 350-8100

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-12-16

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241216001126INurse PractitionerOKTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 73099)

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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: 4688848369View full group profile
NameSpecialtyState
Nurse PractitionerOK
Nurse PractitionerOK
Nurse PractitionerOK
Nurse PractitionerOK
Physician AssistantOK
Nurse PractitionerOK
Nurse PractitionerOK
Nurse PractitionerOK
Nurse PractitionerOK
Nurse PractitionerOK

Reviews

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Frequently asked questions

What is HUNTER GOODMAN (APRN, CNP)'s NPI number?
HUNTER GOODMAN (APRN, CNP)'s NPI is 1144043936 — the number used across U.S. healthcare to identify this provider.
Is HUNTER GOODMAN (APRN, CNP) still an active registrant?
HUNTER GOODMAN (APRN, CNP) carries an active NPI according to the public dataset.
What kind of doctor is HUNTER GOODMAN (APRN, CNP)?
HUNTER GOODMAN (APRN, CNP) is associated with Psychiatric/Mental Health Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with HUNTER GOODMAN (APRN, CNP)?
Directory geography for HUNTER GOODMAN (APRN, CNP) centers on Yukon, Oklahoma.
When was this NPI issued?
Enumeration for HUNTER GOODMAN (APRN, CNP) is noted as November 1, 2024 where the registry provides it.

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