MRS. AMY LEE GOEDECKE (RN,MSN,FNP-C) – Family Nurse Practitioner, NPI 1952776890

MRS. AMY LEE GOEDECKE (RN,MSN,FNP-C) is a healthcare provider. based in Whitesboro, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials RN,MSN,FNP-C. They hold a License No. AP129412 (TX). The NPI Number for MRS. AMY LEE GOEDECKE (RN,MSN,FNP-C) is 1952776890

Main info

Female
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
MRS. AMY LEE GOEDECKE (RN,MSN,FNP-C)
NPI
1952776890
Phone
(903) 564-7709
Address
401 E MAIN ST
Enumeration Date
3 December 2015
Last Update Date
3 December 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5805640200
Graduation Year
2015 (11 years ago)
PAC ID
7012043433
Group Practice PAC ID
6204971112
Professional Enrollment ID
I20180918002788
Address ID
OK734398252KI714XXEXXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:10State licenses:2Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for MRS. AMY LEE GOEDECKE (RN,MSN,FNP-C)

  • 401 E MAIN ST

    WHITESBORO, TX 762731805

    Phone: (903) 564-7709

    Fax: (903) 564-7090

    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)

CMS reports 11 Open Payments records for all available years, with a total value of $182.

Total Amount is formed as General ($182) + Research ($0) + Ownership ($0) = $182.

Last reported payment date: 2024-06-18 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($51).

Total Amount

$182

General + Research + Ownership

Payments

11

Total payment records

General Amount

$182

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-18

Latest reported date

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: 2018-09-18

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
I20180918002788INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes375167$0
36415Insertion of needle into vein for collection of blood sample348150$0
99211Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional217121$0
J1100Injection, dexamethasone sodium phosphate, 1 mg20034$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg19233$0
View full utilization report →

Insurance plans in this area (ZIP 76273)

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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: 6204971112View full group profile
NameSpecialtyState
Nurse PractitionerOK
-OK
Nurse PractitionerTX

Reviews

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Frequently asked questions

How do payers reference MRS. AMY LEE GOEDECKE (RN,MSN,FNP-C)?
For MRS. AMY LEE GOEDECKE (RN,MSN,FNP-C), use NPI 1952776890 as the unique 10-digit identifier.
Active or inactive — what applies to MRS. AMY LEE GOEDECKE (RN,MSN,FNP-C)?
You should see MRS. AMY LEE GOEDECKE (RN,MSN,FNP-C) as active in CMS-hosted NPPES data.
What area of care is associated with MRS. AMY LEE GOEDECKE (RN,MSN,FNP-C)?
MRS. AMY LEE GOEDECKE (RN,MSN,FNP-C)'s record emphasizes Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MRS. AMY LEE GOEDECKE (RN,MSN,FNP-C) associated with Whitesboro?
Public fields place MRS. AMY LEE GOEDECKE (RN,MSN,FNP-C) around Whitesboro, Texas. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.