Individual provider Active NPI

Erin Goss, CNP

  • Adult Health Nurse Practitioner
  • Hackett, AR
National Provider Identifier
1386096584
Registry record updated Oct 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
ARNP9458201 Issued in FL
Practice address
215 N Main St
Hackett, AR 72937-8801
Phone
(479) 255-6095
Fax
(479) 255-6141
NPI assigned
Jul 12, 2016
Last updated
Oct 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X ARNP9458201 FL Primary

Addresses

Primary practice location

215 N Main St
Hackett, AR 72937-8801

Mailing address

215 N Main St
Hackett, AR 72937-8801
Phone (479) 255-6095

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191230000040 FL Practitioner - Nurse Practitioner 5294064390 Reassigns benefits to 1 organization
I20211102002091 AR Practitioner - Nurse Practitioner 5294064390 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health ServicesGroup PAC ID 0648514133, 103 clinicians
Venvisor Health of Ar PAGroup PAC ID 8022551647, 55 clinicians
SHC Medical Partners of Arkansas LLCGroup PAC ID 2668919812, 28 clinicians

Practice addresses (Care Compare)

1120 Lexington Ave
Fort Smith, AR 72901-5136
Phone (479) 709-7260

1202 NE McClain Rd
BLDG 7
Bentonville, AR 72712-3875
Phone (203) 901-2493

200 River Market Ave
Suite 100
Little Rock, AR 72201-1762
Phone (501) 267-9870

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9458201FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jai Ho LLC CurrentSince Aug 14, 2019 Accepting new patients
Jai Ho CurrentSince Aug 14, 2019 Accepting new patients
Baptist Health Services CurrentSince Apr 15, 2024 Accepting new patients
Baptist Health Services Current Accepting new patients
Venvisor Health of Ar PA CurrentSince May 23, 2025 Accepting new patients
Peoples Medical Centers Primary Care Inc Past Accepting new patients
Malabar Chiropractic LLC PastSince Oct 6, 2019 Accepting new patients

Locations

1202 NE McClain Rd
Bentonville, AR 72712
Phone (855) 632-6940

1120 Lexington Ave
Fort Smith, AR 72901
Phone (479) 709-7245

1500 Dodson Ave
Ste 285B
Fort Smith, AR 72901
Phone (479) 709-7025

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

1663 Georgia St NE
Ste 400
Palm Bay, FL 32907
Phone (321) 298-5531

Interoperability endpoints

  • Direct secure messaging: egoss233031@direct.baptist-healthar.org

Organizations & group practices 11

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": "1468281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634601600000",
    "number": "1386096584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 N MAIN ST",
            "city": "HACKETT",
            "state": "AR",
            "postal_code": "729378801",
            "telephone_number": "479-255-6095",
            "fax_number": "479-255-6141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 N MAIN ST",
            "city": "HACKETT",
            "state": "AR",
            "postal_code": "729378801",
            "telephone_number": "479-255-6095",
            "fax_number": "479-255-6141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSS",
        "first_name": "ERIN",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-12",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP9458201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackett, AR

Sources for this page

Verify at the official NPI Registry.