Individual provider Active NPI

Michelle Joy Miller Good, RN, FNP

  • Family Nurse Practitioner
  • Goshen, IN
National Provider Identifier
1033656095
Registry record updated Dec 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71008886A Issued in IN
Practice address
808 N 3Rd St
Goshen, IN 46528-7100
Phone
(573) 534-0088
Fax
(573) 971-8434
NPI assigned
Jan 27, 2017
Last updated
Dec 31, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71008886A IN Primary

Addresses

Primary practice location

808 N 3Rd St
Goshen, IN 46528-7100

Mailing address

808 N 3Rd St
Goshen, IN 46528-7100
Phone (574) 534-0088

Other practice location 1

213 Middlebury St
Goshen, IN 46528-2956
Phone (574) 534-3300

Other names 1

  • Michelle Joy Miller Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mmillergood299542@direct.ochin.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190703002220 IN Practitioner - Nurse Practitioner 7810274800 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Perelman School of Med at the University of Pennsylvania, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

213 Middlebury St
Goshen, IN 46528-2956
Phone (574) 534-3300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Maple City Health Care Center, Inc. Current Accepting new patients
Maple City Health Care Center, Inc CurrentSince May 25, 2019 Accepting new patients
Maple City Health Care Center, Inc. CurrentSince May 25, 2019 Accepting new patients

Locations

213 Middlebury St
Goshen, IN 46528
Phone (574) 534-0088

2606 Peddlers Village Rd
Ste 210
Goshen, IN 46526
Phone (260) 602-3276

808 N 3rd St
Goshen, IN 46528
Phone (574) 534-0088

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1485475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609372800000",
    "number": "1033656095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 N 3RD ST",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465287100",
            "telephone_number": "574-534-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 N 3RD ST",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465287100",
            "telephone_number": "573-534-0088",
            "fax_number": "573-971-8434"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "213 Middlebury St",
            "address_purpose": "LOCATION",
            "city": "Goshen",
            "state": "IN",
            "postal_code": "465282956",
            "country_code": "US",
            "telephone_number": "574-534-3300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER GOOD",
        "first_name": "MICHELLE",
        "middle_name": "JOY",
        "credential": "RN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-27",
        "last_updated": "2020-12-31",
        "certification_date": "2020-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71008886A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmillergood299542@direct.ochin.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "808 N 3rd St",
            "city": "Goshen",
            "state": "IN",
            "country_code": "US",
            "postal_code": "465287100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "MILLER",
            "middle_name": "JOY",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Goshen, IN

Sources for this page

Verify at the official NPI Registry.