JOHNNIE N BRADLEY-GOODMAN (APRN, PMHNP - BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1306322656
Psychiatric/Mental Health Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for JOHNNIE N BRADLEY-GOODMAN (APRN, PMHNP - BC)
1833, Boulevard, Jacksonville, Duval County, Florida, 32206, United States
JACKSONVILLE, FL 32206
Phone: (904) 383-1040
Fax: (904) 244-8952
Type: Location
PO BOX 44008
JACKSONVILLE, FL 322314008
Phone: (904) 383-1040
Type: Mailing
945 Grand St
Starke, FL 320911821
Phone: (904) 964-8382
Type: Location
4300 SW 13th St
Gainesville, FL 326084006
Phone: (352) 374-5600
Type: Location
4300 SW 13TH ST
GAINESVILLE, FL 326084006
Phone: (352) 374-5600
Type: Mailing
84 W LOWDER ST
MACCLENNY, FL 320632638
Phone: (352) 374-5615
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $289.
Total Amount is formed as General ($289) + Research ($0) + Ownership ($0) = $289.
Last reported payment date: 2023-11-01 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($140).
Total Amount
$289
General + Research + Ownership
Payments
5
Total payment records
General Amount
$289
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Pharmaceuticals, Inc | $140 |
| ITI, Inc. | $88 |
| ABBVIE INC. | $62 |
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: 2018-10-01
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20181001002367 | I | Nurse Practitioner | FL | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 98 | 42 | $0 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 77 | 32 | $0 |
| 99483 | Assessment of and care planning for patient with impaired thought processing, typically 60 minutes | 26 | 26 | $0 |
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 21 | 17 | $0 |
Insurance plans in this area (ZIP 32206)
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