Individual provider Active NPI

Alexander S Goch, CRNP

  • Family Nurse Practitioner
  • Johnstown, PA
National Provider Identifier
1265218275
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP028154 Issued in PA
Practice address
618 Walters Ave
Johnstown, PA 15904-1255
Phone
(814) 418-3824
NPI assigned
Sep 5, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

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 SP028154 PA Primary

Addresses

Primary practice location

618 Walters Ave
Johnstown, PA 15904-1255

Mailing address

618 Walters Ave
Johnstown, PA 15904-1255
Phone (814) 418-3824

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20231025000072 PA Practitioner - Nurse Practitioner 0648626861 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Qofl Services LLCGroup PAC ID 6709030133, 21 clinicians

Practice addresses (Care Compare)

100 8TH St
McKeesport, PA 15132-2712
Phone (412) 664-8860

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Provider Partners Care Management LP CurrentSince Dec 18, 2025 Accepting new patients
Qofl Services LLC CurrentSince Sep 20, 2023 Accepting new patients

Locations

12910 Shelbyville Rd
Ste 300
Louisville, KY 40243
Phone (502) 214-0693

8820 Columbia 100 Pkwy
Ste 430
Columbia, MD 21045
Phone (410) 967-2097

700 S Cayuga Ave
Altoona, PA 16602
Phone (814) 251-9765

1020 Green Ave
Altoona, PA 16601
Phone 412963915010149

429 Manor Dr
Ebensburg, PA 15931
Phone (814) 472-6060

100 8th St
McKeesport, PA 15132
Phone (412) 228-4409

6212 Walnut St
Philadelphia, PA 19139
Phone (215) 476-6264

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1693872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1265218275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 WALTERS AVE",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159041255",
            "telephone_number": "814-418-3824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 WALTERS AVE",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159041255",
            "telephone_number": "814-418-3824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOCH",
        "first_name": "ALEXANDER",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-05",
        "last_updated": "2023-09-05",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP028154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, PA

Sources for this page

Verify at the official NPI Registry.