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KASSANDRA NICOLE GOODWIN APRN
NPI 1003612300
Nurse Practitioner - Family in Danville, IL

Active since February 19, 2025PECOS Enrolled
707 N LOGAN AVE, DANVILLE, IL 61832(217) 477-4770 Get Directions Write a Review

NPPES record last updated: February 23, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kassandra Nicole Goodwin Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KASSANDRA NICOLE GOODWIN APRN (NPI 1003612300) is an individual family provider in Danville, Illinois, licensed in Illinois (209.031712) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS, is affiliated with Osf Sacred Heart Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1003612300
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKASSANDRA NICOLE GOODWINCredential: APRN
Location Address707 N LOGAN AVEDanville, IL 61832-4360
Mailing Address707 N Logan AveDanville, IL 61832-4360 · (217) 477-4770
Phone(217) 477-4770
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateFebruary 19, 2025
Last NPPES UpdateFebruary 23, 2025
NPPES CertifiedFebruary 23, 2025
✔ NPI 1003612300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209.031712
707 N LOGAN AVE, Danville, IL 61832
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kassandra Nicole Goodwin Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1153845367
PECOS Enrollment IDI20250409002800
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Osf Sacred Heart Medical Center

Acute Care Hospitals · Danville, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140093
Location812 N Logan AveDanville, IL 61832 · Vermilion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61832 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KARA KAYE SHARPF RN, MSN, FNP-BC
Nurse Practitioner (Family)
707 N LOGAN AVE
DANVILLE, IL 61832
Vermilion County (217) 477-4770
SANDRA E SNYDER NP-C
Nurse Practitioner (Family)
707 N LOGAN AVE
DANVILLE, IL 61832
Vermilion County (217) 477-4784
DR. RAMI KILANI M.D.
Obstetrics & Gynecology
707 N LOGAN AVE
DANVILLE, IL 61832
Vermilion County (217) 477-4720
DR. VENKAT E SEKAR M.D.
Internal Medicine (Gastroenterology)
707 N LOGAN AVE, DANVILLE POLYCLINIC, LTD.
DANVILLE, IL 61832
Vermilion County (217) 477-4772
MR. NACI AKYILDIZ
Physical Therapist
707 N LOGAN AVE
DANVILLE, IL 61832
Vermilion County (217) 442-9060
CHAD AARON BURKOWSKI
Nurse Practitioner (Family)
707 N LOGAN AVE
DANVILLE, IL 61832
Vermilion County (217) 477-4770
WHITESTAR COMPANIES, LLC
Physical Therapist
707 N LOGAN AVE
DANVILLE, IL 61832
Vermilion County (217) 433-2020
DR. UMA SEKAR M.D
Internal Medicine
707 N LOGAN AVE
DANVILLE, IL 61832
Vermilion County (217) 446-6410

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kassandra Goodwin's NPI number?

The NPI number for Kassandra Goodwin is 1003612300. It was assigned to this individual provider in the NPPES registry on February 19, 2025.

Where is Kassandra Goodwin located?

Kassandra Goodwin practices at 707 N Logan Ave, Danville, IL 61832. The listed phone number is (217) 477-4770.

What is Kassandra Goodwin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kassandra Goodwin enrolled in Medicare?

Yes. Kassandra Goodwin is registered in the Medicare PECOS enrollment system.

Is Kassandra Goodwin affiliated with any hospitals?

According to CMS data, Kassandra Goodwin is affiliated with Osf Sacred Heart Medical Center.

When was this NPI record last updated?

The NPPES record for Kassandra Goodwin was last updated on February 23, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.