Nicole Marie Godlewski, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA07574 Issued in TX

Practice address

14660 State Highway 121 Ste 100
Frisco, TX 75035-4630

Phone

(214) 705-6611

Fax

(214) 619-1007

NPI assigned

Dec 12, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Physician Assistant

Education

Texas Tech University Health Science Center School of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Performance Orthopaedics and Sports Medicine, P.a.Group PAC ID 2769550565, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Methodist McKinney Hospital Hospital, McKinney, TX, CCN 670069
• Medical Center of McKinney Hospital, McKinney, TX, CCN 450403
• Methodist Celina Medical Center Hospital, Celina, TX, CCN 670340

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Interoperability endpoints

• Direct secure messaging: nicole.godlewski.1@1686.direct.athenahealth.com

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.

• Performance Orthopaedics & Sports Medicine, P.a.

  • Orthopaedic Surgery Physician
  • Frisco, TX
  • NPI 1962663682
  Medicare reassignment Care Compare group

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

• Columbia Medical Center of McKinney Subsidiary LP

  • General Acute Care Hospital
  • McKinney, TX
  • NPI 1437102639
  Care Compare affiliation
• Methodist Hospitals of Dallas

  • General Acute Care Hospital
  • Celina, TX
  • NPI 1073294740
  Care Compare affiliation
• Methodist McKinney Hospital LLC

  • General Acute Care Hospital
  • McKinney, TX
  • NPI 1952538431
  Care Compare affiliation

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

{
    "created_epoch": "1323648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1881962389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14660 STATE HIGHWAY 121 STE 100",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750354630",
            "telephone_number": "214-705-6611",
            "fax_number": "214-619-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14660 STATE HIGHWAY 121 STE 100",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750354630",
            "telephone_number": "214-705-6611",
            "fax_number": "214-619-1007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODLEWSKI",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-12",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA07574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physician Assistant in Frisco, TX
• Providers in Frisco, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.