JOHANNA POWDEN GOLSTON (RN, NP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1720146772
Psychiatric/Mental Health Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
16,360 NURSE PRACTITIONER in CA
Provider Addresses for JOHANNA POWDEN GOLSTON (RN, NP)
359 NORTH RD
HINESBURG, VT 054619127
Phone: (805) 610-4542
Type: Mailing
2180 Harvard St Ste 210
Sacramento, CA 958153318
Phone: (855) 427-2778
Fax: (916) 567-3501
Type: Location
595 DORSET ST STE 4
SOUTH BURLINGTON, VT 054036240
Phone: (802) 489-5552
Fax: (802) 488-5465
Type: Location
1035, Peach Street, Mill Street District, San Luis Obispo, San Luis Obispo County, California, 93410, United States
SUITE 201
SAN LUIS OBISPO, CA 934012700
Phone: (805) 540-0279
Type: Location
Peach Street, Mill Street District, San Luis Obispo, San Luis Obispo County, California, 93410, United States
SAN LUIS OBISPO, CA 93401
Phone: (805) 540-0279
Type: Mailing
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: 2024-06-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100610000779 | I | Nurse Practitioner | CA | TBD |
| I20240626001078 | I | Nurse Practitioner | VT | TBD |
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.
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 05461)
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