Abigail Grace Goodenow

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

5601013791 Issued in MI

Practice address

420 N Main St Ste 600
Chelsea, MI 48118-1703

Phone

(734) 385-7255

NPI assigned

May 7, 2018

Sex

Female

Sole proprietor

Yes

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

Physician Assistant

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Grand Rapids, MI
  • NPI 1912347923
  Medicare reassignment
• Adult & Pediatric Dermatology PLLC

  • Dermatology Physician
  • Chelsea, MI
  • NPI 1952749376

  Single Specialty

  NPD
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Chelsea, MI
  • NPI 1356272413
  NPD (past)

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

{
    "created_epoch": "1525651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780617600000",
    "number": "1306335138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 N MAIN ST STE 600",
            "city": "CHELSEA",
            "state": "MI",
            "postal_code": "481181703",
            "telephone_number": "734-385-7255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 N MAIN ST STE 600",
            "city": "CHELSEA",
            "state": "MI",
            "postal_code": "481181703",
            "telephone_number": "734-385-7255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODENOW",
        "first_name": "ABIGAIL",
        "middle_name": "GRACE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-07",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "MI",
            "license": "5601013791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martin P. Gleespen, M.D.
• Rebecca Pratt Glover, AU.D., CCC-A
• Kelsey Gockman, BS, MD
• Lauren Gold, M.D.
• Benjamin Goldman, DO
• Helene Miriam Graham, P.T.
• Marnie Loree Grant, DDS
• Greater Chelsea Bone & Joint Surgery, PLC
• Jenna Burk Greenberg, M.D.
• Mark Francis Grenquist, DO

• Dermatology Physician in Chelsea, MI
• Providers in Chelsea, MI by specialty
• Dermatology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; 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.