Michael John Goblish

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

CNP 4973 Issued in MN

Practice address

300 S Bruce St
Marshall, MN 56258-1934

Phone

(507) 337-2923

NPI assigned

Jan 23, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rural Health Care IncGroup PAC ID 3476447541, 156 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Avera Marshall Regional Medical Ctr Hospital, Marshall, MN, CCN 241359

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michael.goblish@avera.sdhealthlink.net

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

• Rural Health Care, Inc

  • Federally Qualified Health Center (FQHC)
  • Worthington, MN
  • NPI 1215317375

  MN

  Medicare reassignment Care Compare group NPD
• Avera Marshall

  • Critical Access Hospital
  • Marshall, MN
  • NPI 1568401016

  MN

  Medicare reassignment NPD
• Rural Health Care, Inc

  • Federally Qualified Health Center (FQHC)
  • Marshall, MN
  • NPI 1740944602
  Care Compare group NPD
• Rural Health Care, Inc

  • Federally Qualified Health Center (FQHC)
  • Windom, MN
  • NPI 1174141485
  Care Compare group
• Rural Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Fulda, MN
  • NPI 1730707084
  Care Compare group
• Rural Health Care, Inc

  • Federally Qualified Health Center (FQHC)
  • Brookings, SD
  • NPI 1386254191
  Care Compare group
• Rural Health Care, Inc

  • Federally Qualified Health Center (FQHC)
  • Presho, SD
  • NPI 1528071297
  Care Compare group
• Rural Health Care, Inc

  • Federally Qualified Health Center (FQHC)
  • Mitchell, SD
  • NPI 1669027678
  Care Compare group
• Rural Health Care, Inc

  • Federally Qualified Health Center (FQHC)
  • Kennebec, SD
  • NPI 1740669381
  Care Compare group
• Rural Health Care, Inc

  • Federally Qualified Health Center (FQHC)
  • Onida, SD
  • NPI 1992793616
  Care Compare group
• Rural Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Highmore, SD
  • NPI 1205824927
  Care Compare group
• Rural Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Fort Pierre, SD
  • NPI 1487667077
  Care Compare group

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

• Avera Marshall

  • Critical Access Hospital
  • Marshall, MN
  • NPI 1568401016

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1485129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1063959567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S BRUCE ST",
            "city": "MARSHALL",
            "state": "MN",
            "postal_code": "562581934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S BRUCE ST",
            "city": "MARSHALL",
            "state": "MN",
            "postal_code": "562581934",
            "telephone_number": "507-337-2923"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Freeman Dr",
            "address_purpose": "LOCATION",
            "city": "Saint Peter",
            "state": "MN",
            "postal_code": "560823504",
            "country_code": "US",
            "telephone_number": "507-933-5013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOBLISH",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-01-23",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "CNP 4973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael James Gerber, M.D.
• Nicholas William Gigliotti, PT
• Cris L Gilb, MN17275
• Gillette Children'S Specialty Healthcare
• Kendra Goblirsch
• Shannon Katrina Gossen, RN
• Shelli Lee Green, LAT, ATC
• Jennifer Joann Gregoire, LICSW
• Brent Eugene Griffin, MD
• Derek K Groeneweg, PA

• All providers in Marshall, MN
• Psychiatric/Mental Health Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.