Andrea M. Goodwin, ANCP, MSN

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

1-107656 Issued in AL

Practice address

3601 Cci Dr NW
Huntsville, AL 35805-2606

Phone

(256) 705-4224

Fax

(256) 705-4135

NPI assigned

Apr 18, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

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

Vanderbilt University School of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oncology Specialties, P.C.Group PAC ID 1254328495, 108 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Huntsville Hospital Hospital, Huntsville, AL, CCN 010039

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

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.

• Oncology Specialties, P.C.

  • Hematology & Oncology Physician
  • Huntsville, AL
  • NPI 1669425716
  Medicare reassignment Care Compare group NPD
• Metro Infectious Disease Consultants, LLC

  • Infectious Disease Physician
  • Burr Ridge, IL
  • NPI 1235125717

  AL

  Medicare reassignment NPD
• Metro Infectious Disease Consultants LLC

  • Infectious Disease Physician
  • Jonesboro, GA
  • NPI 1770307191
  NPD
• Edgefield Rehabilitation, LLC

  • General Acute Care Hospital
  • Nashville, TN
  • NPI 1669469805
  NPD (past)
• Metro Infectious Disease Consultants, LLC

  • Infectious Disease Physician
  • Plymouth, MI
  • NPI 1841530250
  NPD (past)
• Rolling Hills Hospital LLC

  • Psychiatry Physician
  • Franklin, TN
  • NPI 1922240688
  NPD (past)
• Southern Sports Medicine and Orthopaedic Center, P.C.

  • Specialist
  • Nashville, TN
  • NPI 1164439774
  NPD (past)

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

• The Health Care Authority of the City of Huntsville

  • General Acute Care Hospital
  • Huntsville, AL
  • NPI 1447221056
  Care Compare affiliation

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1922063429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18428",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358048428",
            "telephone_number": "256-705-4224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 CCI DR NW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358052606",
            "telephone_number": "256-705-4224",
            "fax_number": "256-705-4135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "ANDREA",
        "middle_name": "M.",
        "credential": "ANCP, MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-18",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-107656",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1-107656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "1-107656",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Haylee Brooke Goode
• Edward Titus Goodman III, PT
• Jenna Goodson
• Madilynn Michele Goodson, OTR
• William Houston Goodson Jr., M.D.
• Byrom Odell Goodwin Sr., ED.S., L.P.C.
• Veronica Gordillo Herrejon
• Laura Gordon
• Gregory C Gore, CRNP
• Priya S Gore, M.D.

• Acute Care Nurse Practitioner in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Acute Care Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; 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.