NPIMap

Individual provider Active NPI

Meagan Goodwin

  • Adult Health Nurse Practitioner
  • Plattsburgh, NY
National Provider Identifier
1770062523
Registry record updated Oct 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
101.0134170 Issued in VT
Practice address
79 Hammond LN Ste 2
Plattsburgh, NY 12901-2008
Phone
(518) 563-5900
NPI assigned
Aug 13, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2019

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 101.0134170 VT Primary

Addresses

Primary practice location

79 Hammond LN Ste 2
Plattsburgh, NY 12901-2008

Mailing address

4 Ruth St
South Burlington, VT 05403-6535
Phone (617) 921-1696

Other practice location 1

111 Colchester Ave
Burlington, VT 05401-1473
Phone (802) 847-0000

Other practice location 2

353 Blair Park Rd
Williston, VT 05495-7530
Phone (802) 847-1470

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191028001671 VT Practitioner - Nurse Practitioner 8628312402 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Vermont College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Porter Hospital IncGroup PAC ID 1850365180, shared by 5 NPIs, 116 clinicians
Gifford Medical Center IncGroup PAC ID 4880683663, shared by 3 NPIs, 55 clinicians

Practice addresses (Care Compare)

1 S Prospect St
Burlington, VT 05401-3456
Phone (802) 847-0000

111 Colchester Ave
Burlington, VT 05401-1473
Phone (802) 847-0000

115 Porter Dr
Middlebury, VT 05753-8423
Phone (802) 388-4701

44 S Main St
Randolph, VT 05060-1381
Phone (802) 728-7000

62 Tilley Dr
South Burlington, VT 05403-4407

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
101.0134170VTMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Porter Hospital Inc Current Accepting new patients
University of Vermont Medical Center Inc CurrentSince Oct 1, 2019 Accepting new patients
Porter Hospital, Inc CurrentSince Sep 1, 2022 Accepting new patients
Beach Medical Services PastSince Nov 26, 2018 Accepting new patients

Locations

61 Court Dr
Brandon, VT 05733
Phone (802) 247-3755

111 Colchester Ave
Burlington, VT 05401
Phone (802) 656-2415

1 S Prospect St
Burlington, VT 05401
Phone (802) 847-4531

104 Porter Dr
Middlebury, VT 05753
Phone (802) 388-5682

82 Catamount Park
Middlebury, VT 05753
Phone (802) 388-7185

115 Porter Dr
Middlebury, VT 05753
Phone (802) 388-4701

44 S Main St
Randolph, VT 05060
Phone (802) 728-4441

353 Blair Park Rd
Williston, VT 05495
Phone (802) 847-1440

Interoperability endpoints

  • Direct secure messaging: mgoodwin123029@direct.uvmhealth.org

Organizations & group practices 4

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 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1534118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570406400000",
    "number": "1770062523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 RUTH ST",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054036535",
            "telephone_number": "617-921-1696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 HAMMOND LN STE 2",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129012008",
            "telephone_number": "518-563-5900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Colchester Ave",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "VT",
            "postal_code": "054011473",
            "country_code": "US",
            "telephone_number": "802-847-0000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "353 Blair Park Rd",
            "address_purpose": "LOCATION",
            "city": "Williston",
            "state": "VT",
            "postal_code": "054957530",
            "country_code": "US",
            "telephone_number": "802-847-1470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "MEAGAN",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-13",
        "last_updated": "2019-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VT",
            "license": "101.0134170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plattsburgh, NY

Sources for this page

Verify at the official NPI Registry.