Individual provider Active NPI

Godwin Neckmen

  • Psychiatric/Mental Health Nurse Practitioner
  • Wyomissing, PA
National Provider Identifier
1114420429
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
269313 Issued in AZ
Practice address
833 N Park Rd Ste 200
Wyomissing, PA 19610-1341
Phone
(610) 670-9800
Fax
(610) 670-9800
NPI assigned
Mar 13, 2018
Last updated
Aug 20, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 269313 AZ Primary
Emergency Registered Nurse 163WE0003X 918855 TX

Addresses

Primary practice location

833 N Park Rd Ste 200
Wyomissing, PA 19610-1341

Mailing address

109 Autumnwood Dr
Mansfield, TX 76063-8645

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20220928003755 TX Practitioner - Nurse Practitioner 3870979818

Care Compare profile

Medicare Care Compare

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

Practice roles

OrganizationSpecialtyStatusNew patients
Optimum Care Counseling & Wellness Solutions, LLC Past Accepting new patients
Chess Medicine PLLC PastSince May 27, 2023 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1520899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1114420429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 AUTUMNWOOD DR",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760638645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 N PARK RD STE 200",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101341",
            "telephone_number": "610-670-9800",
            "fax_number": "610-670-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NECKMEN",
        "first_name": "GODWIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-13",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "269313",
            "primary": true
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "TX",
            "license": "918855",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyomissing, PA

Sources for this page

Verify at the official NPI Registry.