James Gooss, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Jal, NM
NPI 1578087169 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1578087169
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- CNP-03305 (NM)
- Practice address
- 805 West Kansas Avenue
Jal, NM 88252 - Phone
- (575) 395-3400
- Fax
- (575) 395-2781
- NPI assigned
- Jul 26, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Jal Hospital District
Practice addresses (Care Compare)
805 W Kansas
Jal, NM 88252-2525
Phone 5753953400220
PO Box Z
Jal, NM 88252-2525
Hospital & facility affiliations
- Elite Home Health, LLC
- Covenant Health Hobbs Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170918001496 | NM | Practitioner - Nurse Practitioner | 4385918176 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNP-03305 | NM | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jal Hospital District | Family | Current |
Accepting new patients |
| Jal Hospital District | Past |
Accepting new patients |
Interoperability endpoints
- james.gooss.1@27277.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | CNP-03305 | NM | Yes |
Addresses
Primary practice location
805 West Kansas Avenue
Jal, NM 88252
Mailing address
PO Box Z
Jal, NM 88252-2525
Phone (575) 395-3400
Other practice location 1
PO Box Z
Jal, NM 88252-2525
Phone (575) 395-3400
Other practice location 2
PO Box Z
Jal, NM 88252-2525
Phone (575) 395-3400
Other providers in Jal, NM
- Kendall W Boyd
- Dominic U Chibueze
- City of Jal General Fund
- Robyn Crawford
- Brandy Gooss
- Samantha Dawn Gooss
- Charity Keonna Haller
- Jami Hammons
- Beatrice Hauer
- Jal Hospital District
All providers in Jal, NM · Family Nurse Practitioner in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.