MRS. AMANDA GOODSON (FNP-C) – Family Nurse Practitioner, NPI 1720563067

MRS. AMANDA GOODSON (FNP-C) is a healthcare provider. based in College station, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 138949 (TX). The NPI Number for MRS. AMANDA GOODSON (FNP-C) is 1720563067

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
MRS. AMANDA GOODSON (FNP-C)
NPI
1720563067
Phone
(979) 458-8310
Address
1264 TAMU
Enumeration Date
2 October 2018
Last Update Date
11 April 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2547242663
Graduation Year
2018 (8 years ago)
PAC ID
1557782414
Group Practice PAC ID
8123923604
Professional Enrollment ID
I20200601001580
Address ID
TX765080001TE2401XBLDG501

Contacts

Secure Messaging
goodson71602@direct.sw.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness85
Years active:7State licenses:1Other namesUpdated within 12 months

22,204 NURSE PRACTITIONER in TX

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Provider Addresses for MRS. AMANDA GOODSON (FNP-C)

  • Tamu Township, Tamu District, Sagaing, Myanmar

    COLLEGE STATION, TX 778430001

    Phone: (979) 458-8310

    Type: Location

  • PO BOX 844658

    DALLAS, TX 752844658

    Phone:

    Type: Mailing

  • 101 LAFFERTY AVE

    CAMERON, TX 765203684

    Phone: (254) 605-1100

    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: 2020-06-01

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
I20200601001580INurse PractitionerTXTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes167139$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit2424$0
99215Established patient office or other outpatient visit, 40-54 minutes2222$0
99204New patient office or other outpatient visit, 45-59 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 77843)

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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: 8123923604View full group profile
NameSpecialtyState
Radiation OncologyTX
U R O L O G YTX
General SurgeryOK
Certified Registered Nurse Anesthetist (Crna)TX
-TX
Anesthesiology AssistantTX
-TX
-TX
O B S T E T R I C S/ G Y N E C O L O G YTX
-TX

Reviews

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Frequently asked questions

Where can patients find MRS. AMANDA GOODSON (FNP-C)'s NPI?
You can confirm MRS. AMANDA GOODSON (FNP-C) with NPI 1720563067; it appears in the national provider directory.
Is MRS. AMANDA GOODSON (FNP-C)'s NPI currently valid?
The extract we use shows MRS. AMANDA GOODSON (FNP-C) as active.
Can you summarize MRS. AMANDA GOODSON (FNP-C)'s specialty in plain language?
Clinically, the directory lists MRS. AMANDA GOODSON (FNP-C) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does MRS. AMANDA GOODSON (FNP-C) practice in Texas?
You will see College Station, Texas on file for MRS. AMANDA GOODSON (FNP-C) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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