Individual provider Active NPI

Stacy Goodin, FNP

  • Family Nurse Practitioner
  • Sherman, TX
National Provider Identifier
1114372646
Registry record updated Aug 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP130767 Issued in TX
Practice address
1810 W US Highway 82
Sherman, TX 75092-7069
Phone
(903) 702-6008
NPI assigned
May 3, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2022

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 AP130767 TX Primary

Addresses

Primary practice location

1810 W US Highway 82
Sherman, TX 75092-7069

Mailing address

4919 Leavenworth Trail
Calera, OK 74730
Phone (580) 465-8247

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160901000383 TX Practitioner - Nurse Practitioner 7214223122 Reassigns benefits to 3 organizations
I20160901001606 OK Practitioner - Nurse Practitioner 7214223122 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carrus Care Physicians Group IncGroup PAC ID 3476898040, 17 clinicians

Practice addresses (Care Compare)

1810 W US Hwy 82
Carrus Health
Sherman, TX 75092-7069
Phone (903) 870-2600

301 S Park St
Granbury, TX 76048-1800
Phone (212) 734-6621

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP130767TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carrus Care Physicians Group Inc. CurrentSince May 20, 2019 Accepting new patients
C David Garvin, MD, PA CurrentSince Sep 1, 2016 Accepting new patients
MDS Texas Medical PLLC CurrentSince Jun 7, 2025 Accepting new patients

Locations

101 Sherrard St
Colbert, OK 74733
Phone (580) 296-4500

1302 N State Highway 91
Denison, TX 75020
Phone (800) 458-1857

1300 N State Highway 91
Denison, TX 75020
Phone (214) 585-0930

301 S Park St
Granbury, TX 76048
Phone (817) 573-3726

1810 W US Highway 82
Sherman, TX 75092
Phone (903) 870-2600

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EIAEAD

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1462233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660435200000",
    "number": "1114372646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4919 LEAVENWORTH TRAIL",
            "city": "CALERA",
            "state": "OK",
            "postal_code": "74730",
            "telephone_number": "580-465-8247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 W US HIGHWAY 82",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750927069",
            "telephone_number": "903-702-6008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODIN",
        "first_name": "STACY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-03",
        "last_updated": "2022-08-14",
        "certification_date": "2022-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP130767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman, TX

Sources for this page

Verify at the official NPI Registry.