MRS. ABBY NICOLE GODWIN (CRNA) – Certified Registered Nurse Anesthetist, NPI 1316278971

MRS. ABBY NICOLE GODWIN (CRNA) is a healthcare provider. based in Tyler, Texas. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 083721 (TX). The NPI Number for MRS. ABBY NICOLE GODWIN (CRNA) is 1316278971

Main info

Female
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
MRS. ABBY NICOLE GODWIN (CRNA)
NPI
1316278971
Phone
(903) 531-8638
Address
1000 S BECKHAM AVE
Enumeration Date
21 January 2010
Last Update Date
21 January 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9033152000
Graduation Year
2009 (17 years ago)
PAC ID
9638214299
Group Practice PAC ID
3779565544
Professional Enrollment ID
I20100306000347
Address ID
TX756015580LO700XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

5,279 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in TX

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Provider Addresses for MRS. ABBY NICOLE GODWIN (CRNA)

  • East Texas Medical Center - Tyler, 1000, South Beckham Avenue, Tyler, Smith County, Texas, 75701, United States

    TYLER, TX 757011908

    Phone: (903) 531-8638

    Fax: (817) 877-0350

    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: 2010-03-06

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
I20100306000347ICertified Registered Nurse Anesthetist (Crna)TXTBD

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 75701)

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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: 3779565544View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)LA
-TX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX

Reviews

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Frequently asked questions

How is MRS. ABBY NICOLE GODWIN (CRNA) identified in CMS data?
CMS-hosted NPPES data lists MRS. ABBY NICOLE GODWIN (CRNA) with NPI 1316278971.
Is MRS. ABBY NICOLE GODWIN (CRNA) still practicing?
MRS. ABBY NICOLE GODWIN (CRNA) is currently listed as active in the public NPI registry.
What taxonomy line describes MRS. ABBY NICOLE GODWIN (CRNA)?
For research purposes, treat MRS. ABBY NICOLE GODWIN (CRNA) as Certified Registered Nurse Anesthetist in this dataset. Clinical services aligned with this taxonomy classification.
What area does MRS. ABBY NICOLE GODWIN (CRNA) serve?
MRS. ABBY NICOLE GODWIN (CRNA)'s listing highlights Tyler, Texas; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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