Charity J Goben, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

14489 Issued in MN

Practice address

2440 Bridge Ave
Suite 600
Albert Lea, MN 56007

Phone

(507) 318-4603

Fax

(844) 749-4372

NPI assigned

Jul 20, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Charity Jade Bloom Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Premise Health of Minnesota Medical P C

  • Multi-Specialty Clinic/Center
  • Austin, MN
  • NPI 1184250060
  NPD
• MH Health Care Services, PC

  • Clinic/Center
  • Albert Lea, MN
  • NPI 1174477582
  NPD (past)
• Integris Rural Health Inc

  • Family Medicine Physician
  • Enid, OK
  • NPI 1487800512
  NPD (past)
• Summit Medical Center

  • General Acute Care Hospital
  • Edmond, OK
  • NPI 1356574560
  NPD (past)

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1114926243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 BRIDGE AVE STE 600",
            "city": "ALBERT LEA",
            "state": "MN",
            "postal_code": "560072088",
            "telephone_number": "507-318-4603",
            "fax_number": "844-749-4372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 BRIDGE AVE",
            "address_2": "SUITE 600",
            "city": "ALBERT LEA",
            "state": "MN",
            "postal_code": "56007",
            "telephone_number": "507-318-4603",
            "fax_number": "844-749-4372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOBEN",
        "first_name": "CHARITY",
        "middle_name": "J",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-20",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "14489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARITY",
            "last_name": "BLOOM",
            "middle_name": "JADE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gentle Guidance LLC
• Cynthia R Gilbert, PA-C
• Christine Ann Gislason, COTA/L
• Ciji Gleason
• Kelly Gleason
• Kaitlin A Goforth, PA-C
• Rebecca Mildred Goodell, R.D.L.D.
• Scott Errol Goodmanson, RPH
• Karen M Gosen, M.D.
• Abigail Goskeson, LICSW

• Physician Assistant in Albert Lea, MN
• Providers in Albert Lea, MN by specialty
• Physician Assistant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.