Jennifer Goodin, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704281359 Issued in MI

Practice address

18 Market St Ste C
Mount Clemens, MI 48043-7403

Phone

(586) 783-2222

Fax

(583) 783-6380

NPI assigned

Dec 11, 2020

Last updated

Mar 21, 2024By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in MI

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, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mycare Health CenterGroup PAC ID 6406039403, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75.31 of 100Reported as group

Quality

73.34

Promoting interoperability

64

Improvement activities

40

Cost

52.64

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10018231
• Direct secure messaging: jennifergoodin@mchc.allscriptsdirect.net
• Direct secure messaging: jgoodin1130348@direct.hfhs.org

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.

• Mycare Health Center

  • Federally Qualified Health Center (FQHC)
  • Mount Clemens, MI
  • NPI 1265749683
  Medicare reassignment Care Compare group NPD
• Specialists in Rehabilitation Medicine PC

  • Physical Medicine & Rehabilitation Physician
  • Rochester, MI
  • NPI 1336114537
  Medicare reassignment NPD
• George J Carley DO PC

  • Family Medicine Physician
  • Port Huron, MI
  • NPI 1528173812
  NPD
• Mycare Health Center

  • Federally Qualified Health Center (FQHC)
  • Center Line, MI
  • NPI 1770284564
  NPD
• Mycare Health Center

  • Federally Qualified Health Center (FQHC)
  • Clinton Township, MI
  • NPI 1639573033
  NPD (past)

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

{
    "created_epoch": "1607644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1174129381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1943 HOLLAND AVE",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480601519",
            "telephone_number": "810-357-4945",
            "fax_number": "810-985-5454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 MARKET ST STE C",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480437403",
            "telephone_number": "586-783-2222",
            "fax_number": "583-783-6380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6900 E 10 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Center Line",
            "state": "MI",
            "postal_code": "480151168",
            "country_code": "US",
            "telephone_number": "586-756-7777",
            "fax_number": "586-756-7788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODIN",
        "first_name": "JENNIFER",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-11",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704281359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• GLPS Staffing Solutions LLC
• Belinda Golder, LLPC
• Sydni Alexis Golfin, DO
• Diego Andres Gomez Murphy
• Mary Bernadette Rose Gonzalez, LMSW
• Lyndon M Graham, CRNA
• Nakya Kai Graham
• Thomas C Gratch
• Evan Robert Papa Gray
• Jacqueline Gray, LMSW

• Family Nurse Practitioner in Mount Clemens, MI
• Providers in Mount Clemens, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; 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.