MISS CHRISTINE GOODALL (PA-C) – Physician Assistant, NPI 1053869685

MISS CHRISTINE GOODALL (PA-C) is a healthcare provider. based in Salt lake city, Utah. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA189633 (OR). The NPI Number for MISS CHRISTINE GOODALL (PA-C) is 1053869685

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
MISS CHRISTINE GOODALL (PA-C)
NPI
1053869685
Phone
Not provided
Address
PO BOX 25608
Enumeration Date
12 September 2016
Last Update Date
4 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5417067715
Graduation Year
2016 (10 years ago)
PAC ID
9537448964
Group Practice PAC ID
8729111513
Professional Enrollment ID
I20190308002540
Address ID
OR977016015BE2500XRDXX407

Contacts

Secure Messaging
cgoodall90206@secure.stcharleshealthcare.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness85
Years active:9State licenses:1Other namesUpdated within 12 months

4,282 PHYSICIAN ASSISTANT in WA

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Provider Addresses for MISS CHRISTINE GOODALL (PA-C)

  • PO BOX 25608

    SALT LAKE CITY, UT 841250608

    Phone:

    Type: Mailing

  • Northeast Union Hill Road, Redmond, King County, Washington, 98052-6088, United States

    REDMOND, WA 98052

    Phone: (206) 320-5190

    Fax: (206) 320-5191

    Type: Location

  • 2200 NE NEFF RD STE 200

    BEND, OR 977014281

    Phone: (541) 382-3344

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $368.

Total Amount is formed as General ($368) + Research ($0) + Ownership ($0) = $368.

Last reported payment date: 2024-10-02 • Largest payer in this snapshot: DePuy Synthes Sales Inc. ($289).

Total Amount

$368

General + Research + Ownership

Payments

9

Total payment records

General Amount

$368

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-02

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: 2019-03-08

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
I20190308002540IPhysician AssistantORTBD

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
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg15534$0
99213Established patient office or other outpatient visit, 20-29 minutes7866$0
99214Established patient office or other outpatient visit, 30-39 minutes6459$0
20610Aspiration and/or injection of fluid from large joint4838$0
99203New patient office or other outpatient visit, 30-44 minutes3333$0
View full utilization report →

Insurance plans in this area (ZIP 84125)

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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: 8729111513View full group profile
NameSpecialtyState
Physician AssistantOR
Orthopedic SurgeryNM
Family PracticeOR
Nurse PractitionerOR
Hand SurgeryOR
Diagnostic RadiologyOR
Physician AssistantOR
Nurse PractitionerOR
-OR
General SurgeryOR

Reviews

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Frequently asked questions

Can I cross-check MISS CHRISTINE GOODALL (PA-C) using NPI 1053869685?
NPI 1053869685 belongs to MISS CHRISTINE GOODALL (PA-C); compare other details if you need extra assurance.
Would MISS CHRISTINE GOODALL (PA-C) appear as active to a payer?
You can treat MISS CHRISTINE GOODALL (PA-C) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for MISS CHRISTINE GOODALL (PA-C)?
At a glance, MISS CHRISTINE GOODALL (PA-C) is tied to Physician Assistant. Clinical services aligned with this taxonomy classification.
Is MISS CHRISTINE GOODALL (PA-C) associated with Salt Lake City?
Public fields place MISS CHRISTINE GOODALL (PA-C) around Salt Lake City, Utah. Always confirm the exact site before visiting.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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