Individual provider Active NPI

Justin Jeffrey Godin, APRN

  • Family Nurse Practitioner
  • Canaan, NH
National Provider Identifier
1497285464
Registry record updated Jun 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
047822-23 Issued in NH
Practice address
18 Roberts Rd
Canaan, NH 03741-7644
Phone
(603) 523-4343
Fax
(833) 764-4648
NPI assigned
Jun 13, 2017
Last updated
Jun 27, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 047822-23 NH Primary
Emergency Registered Nurse 163WE0003X 047822-21 NH

Addresses

Primary practice location

18 Roberts Rd
Canaan, NH 03741-7644

Mailing address

18 Roberts Rd
Canaan, NH 03741-7644
Phone (603) 523-4343

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20171005001114 NH Practitioner - Nurse Practitioner 9234404906 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mascoma Community Healthcare IncGroup PAC ID 2466736525, 2 clinicians

Practice addresses (Care Compare)

18 Roberts Rd
Canaan, NH 03741-7644
Phone (603) 523-4343

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
047822-21NHMDEmergency Registered Nurse
047822-23NHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Medical Center CurrentSince Oct 31, 2022 Accepting new patients
CMC D/B/a Urgent Care at Bedford Medical Park CurrentSince Feb 21, 2023 Accepting new patients
Catholic Medical Center CurrentSince Oct 31, 2022 Accepting new patients
Dartmouth-Hitchcock Clinic CurrentSince Sep 1, 2017 Accepting new patients
Appledore Medical Group, Inc CurrentSince Feb 22, 2025 Accepting new patients
Alliance Health Services CurrentSince Sep 1, 2017 Accepting new patients
Catholic Medical Center Current Accepting new patients

Locations

188 State Route 101
Bedford, NH 03110
Phone (603) 314-4700

25 S River Rd
Bedford, NH 03110
Phone (603) 626-4392

5 Washington Pl
Ste 1A
Bedford, NH 03110
Phone (603) 663-8060

1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922

195 McGregor St
Ste 310
Manchester, NH 03102

57 Webster St
Manchester, NH 03104
Phone (603) 622-6491

775 S Main St
Manchester, NH 03102
Phone (603) 625-6198

330 Borthwick Ave
Ste 201
Portsmouth, NH 03801
Phone (603) 431-5242

330 Borthwick Ave
Ste 308
Portsmouth, NH 03801
Phone (603) 431-5242

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: jgodin240607@direct.dartmouth-hitchcock.org
  • Direct secure messaging: justin.godin@hca6.eclinicaldirectplus.com

Organizations & group practices 8

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": "1497312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782518400000",
    "number": "1497285464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 ROBERTS RD",
            "city": "CANAAN",
            "state": "NH",
            "postal_code": "037417644",
            "telephone_number": "603-523-4343",
            "fax_number": "833-764-4648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 ROBERTS RD",
            "city": "CANAAN",
            "state": "NH",
            "postal_code": "037417644",
            "telephone_number": "603-523-4343",
            "fax_number": "833-764-4648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODIN",
        "first_name": "JUSTIN",
        "middle_name": "JEFFREY",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-13",
        "last_updated": "2026-06-27",
        "certification_date": "2026-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "047822-23",
            "primary": true
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "NH",
            "license": "047822-21",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canaan, NH

Sources for this page

Verify at the official NPI Registry.