MRS. CAROL ANN GOETZ (FNP-C) – Family Nurse Practitioner, NPI 1255322764
Family Nurse Practitioner
Main info
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MRS. CAROL ANN GOETZ (FNP-C)
800 EAST CARPENTER STREE
SPRINGFIELD, IL 62729
Phone: (217) 544-6464
Type: Mailing
HSHS Saint John's Hospital, 800, East Carpenter Street, Springfield, Sangamon County, Illinois, 62769, United States
SPRINGFIELD, IL 62729
Phone: (217) 544-6464
Type: Location
111 W JACKSON BLVD STE 1700
CHICAGO, IL 606043597
Phone: (888) 731-8994
Type: Mailing
45 SANDCREEK CT
DECATUR, IL 625215403
Phone: (217) 620-1911
Type: Location
1800 E LAKE SHORE DR
DECATUR, IL 625213883
Phone: (217) 464-2973
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: 2022-03-24
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 |
|---|---|---|---|---|
| I20160825002330 | I | Nurse Practitioner | IL | TBD |
| I20220324000037 | I | Nurse Practitioner | TX | 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 |
|---|---|---|---|---|
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 42 | 42 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 12 | 11 | $0 |
Insurance plans in this area (ZIP 62729)
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