Shanna Farmer Goetsch, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

1018420 Issued in TX

Practice address

319 Runnels St
Big Spring, TX 79720-2527

Phone

(432) 264-2650

NPI assigned

Feb 1, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

West Texas Centers for MHMRGroup PAC ID 3971587502, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• West Texas Centers for MHMR

  • Psychiatry Physician
  • Big Spring, TX
  • NPI 1154348514
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1612137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639094400000",
    "number": "1831780006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 RUNNELS ST",
            "city": "BIG SPRING",
            "state": "TX",
            "postal_code": "797202527",
            "telephone_number": "432-264-2650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 RUNNELS ST",
            "city": "BIG SPRING",
            "state": "TX",
            "postal_code": "797202527",
            "telephone_number": "432-264-2650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOETSCH",
        "first_name": "SHANNA",
        "middle_name": "FARMER",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-01",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1018420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Shanna.Goetsch@wtcmhmr.org",
            "affiliation": "N",
            "endpointDescription": "encrypted email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "319 Runnels St",
            "city": "Big Spring",
            "state": "TX",
            "country_code": "US",
            "postal_code": "797202527",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lisa Marie Garza, R,T.(R)(MR)
• Monica Alejandra Garza, PHARMD
• Matthew Gaudiuso
• Katie Ann Gibbins, FNP-C
• Glasscock Isd
• Ariah Gonzales, DPT
• Mayra Gonzales, LCSW
• Genesis Barraza Gonzalez, RN
• Norma Hilda Gonzalez
• Melanie N Gordon-Sheets, PH.D.

• Psychiatric/Mental Health Nurse Practitioner in Big Spring, TX
• Providers in Big Spring, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2021; 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.