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MERCEDES GOODMAN NP
NPI 1003749789
Nurse Practitioner in Oneida, TN

Active since June 04, 2026PECOS Enrolled
18805 ALBERTA ST, ONEIDA, TN 37841(423) 569-8382 Get Directions Write a Review

NPPES record last updated: June 11, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mercedes Goodman Np NPPES

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

MERCEDES GOODMAN NP (NPI 1003749789) is an individual nurse practitioner in Oneida, Tennessee, licensed in Tennessee (42180) and active in the NPI registry since June 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2026).

NPPES Registry Identity

NPI1003749789
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMERCEDES GOODMANCredential: NP
Location Address18805 ALBERTA STOneida, TN 37841-2100
Mailing AddressPo Box 4032Oneida, TN 37841-4032
Phone(423) 569-8382
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateJune 4, 2026
Last NPPES UpdateJune 11, 2026
NPPES CertifiedJune 11, 2026
✔ NPI 1003749789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in TN · 42180
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
18805 ALBERTA ST, Oneida, TN 37841
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mercedes Goodman Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID648736207
PECOS Enrollment IDI20260803004480
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Mercedes Goodman reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ipc Pac Healthcare Services Of Tennessee PC
126 mi
Internal Medicine
1 MEDICAL PARK BLVD
Bristol, TN 37620
  • Reassigned Medicare billing, Tennessee enrollment
  • 230 clinicians in this Medicare group
NPI 1104277656 (423) 844-1121
Cs Pacs 3 Southeast, LLC
190 mi
Hospitalist
1600 BLAND ST
Bluefield, WV 24701
  • Reassigned Medicare billing, Tennessee enrollment
  • 227 clinicians in this Medicare group
NPI 1154104958 (304) 327-2485
Nv Pacs 2 LLC
1,711 mi
Hospitalist
10550 PARK RUN DR
Las Vegas, NV 89144
  • Reassigned Medicare billing, Tennessee enrollment
  • 253 clinicians in this Medicare group
NPI 1427534809 (865) 693-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37841 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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

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

PREFERRED HEALTH SERVICES OF TENNESSEE, INC.
Skilled Nursing Facility
18805 ALBERTA ST
ONEIDA, TN 37841
Scott County (423) 569-8382

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 Mercedes Goodman's NPI number?

The NPI number for Mercedes Goodman is 1003749789. It was assigned to this individual provider in the NPPES registry on June 4, 2026.

Where is Mercedes Goodman located?

Mercedes Goodman practices at 18805 Alberta St, Oneida, TN 37841. The listed phone number is (423) 569-8382.

What is Mercedes Goodman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Mercedes Goodman enrolled in Medicare?

Yes. Mercedes Goodman is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mercedes Goodman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mercedes Goodman reassigns Medicare benefits to 3 organizations: Ipc Pac Healthcare Services Of Tennessee PC (Bristol, TN), Cs Pacs 3 Southeast, LLC (Bluefield, WV) and Nv Pacs 2 LLC (Las Vegas, NV). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mercedes Goodman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mercedes Goodman was last updated on June 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.