MRS. DENISE MICHELLE GOSS (RD/LD,CDE) – Registered Dietitian, NPI 1225026008

MRS. DENISE MICHELLE GOSS (RD/LD,CDE) is a healthcare provider. based in Tahlequah, Oklahoma. specializing in REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL. They hold the professional credentials RD/LD,CDE. They hold a License No. LD876 (OK). The NPI Number for MRS. DENISE MICHELLE GOSS (RD/LD,CDE) is 1225026008

Main info

Female
32 Years Of Experience
Accepts Medicare Assignment
Name
MRS. DENISE MICHELLE GOSS (RD/LD,CDE)
NPI
1225026008
Phone
(918) 453-0238
Address
24885 S 470 RD
Enumeration Date
6 October 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9186870201
Graduation Year
1994 (32 years ago)
PAC ID
8820901184
Group Practice PAC ID
5799698742
Professional Enrollment ID
I20031112000059
Address ID
OK744036253MU1001XEXXX502
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

106 REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL in OK

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Provider Addresses for MRS. DENISE MICHELLE GOSS (RD/LD,CDE)

  • Mill Road, Tahlequah, Cherokee County, Oklahoma, 74465, United States

    TAHLEQUAH, OK 744641518

    Phone: (918) 453-0238

    Type: Mailing

  • 1805, North York Street, Bailey's Acreage, Bacone, Muskogee, Muskogee County, Oklahoma, 74403, United States

    STE E

    MUSKOGEE, OK 744031404

    Phone: (918) 687-0201

    Fax: (918) 687-0665

    Type: Location

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: 2003-11-12

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
I20031112000059IRegistered Dietitian Or Nutrition ProfessionalTXTBD

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 74464)

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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: 5799698742View full group profile

Reviews

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Frequently asked questions

What NPI should I save for MRS. DENISE MICHELLE GOSS (RD/LD,CDE)?
Save NPI 1225026008 if you need a stable reference for MRS. DENISE MICHELLE GOSS (RD/LD,CDE).
Is MRS. DENISE MICHELLE GOSS (RD/LD,CDE)'s NPI currently valid?
The extract we use shows MRS. DENISE MICHELLE GOSS (RD/LD,CDE) as active.
What field does MRS. DENISE MICHELLE GOSS (RD/LD,CDE) work in?
You can think of MRS. DENISE MICHELLE GOSS (RD/LD,CDE) as practicing within Registered Dietitian. Clinical services aligned with this taxonomy classification.
Where is MRS. DENISE MICHELLE GOSS (RD/LD,CDE)'s primary listing?
We display Tahlequah, Oklahoma because that is what the record indicates for MRS. DENISE MICHELLE GOSS (RD/LD,CDE).
Is MRS. DENISE MICHELLE GOSS (RD/LD,CDE) a real provider?
This page reflects official NPPES data for NPI 1225026008. Always confirm identity and privileges with the practice and licensing boards.

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