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TIMIKA SHANTE GOODSON FNP-C, PMHNP-BC
NPI 1053910794
Nurse Practitioner - Psychiatric/Mental Health in Upper Marlboro, MD

Active since October 23, 2020PECOS Enrolled
3421 GENTLE BREEZE DR # A, UPPER MARLBORO, MD 20772(443) 529-2027(240) 306-9503 Get Directions Write a Review

NPPES record last updated: January 30, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 22, 2023, Aug 16, 2022, Apr 27, 2022 and 4 more (7 updates tracked since 2020).

About Timika Shante Goodson Fnp-c, Pmhnp-bc NPPES

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

TIMIKA SHANTE GOODSON FNP-C, PMHNP-BC (NPI 1053910794) is an individual psychiatric/mental health provider in Upper Marlboro, Maryland, licensed in Maryland (R228537) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1053910794
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameTIMIKA SHANTE GOODSONCredential: FNP-C, PMHNP-BC
Location Address3421 GENTLE BREEZE DR # AUpper Marlboro, MD 20772-2549
Mailing Address3421 Gentle Breeze DrUpper Marlboro, MD 20772-2549 · (443) 529-2027
Phone(443) 529-2027
Fax(240) 306-9503
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateOctober 23, 2020
Last NPPES UpdateJanuary 30, 20247 updates tracked since enumeration
NPPES CertifiedJanuary 30, 2024
✔ NPI 1053910794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in MD · R228537✔ Licensed in DC · RN1055089
Also ListedRegistered Nurse · Community HealthTaxonomy 163WC1500X · License RN1055089 (DC)
Also ListedRegistered Nurse · Home HealthTaxonomy 163WH0200X · License R228537 (MD)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License RN1055089 (DC), R228537 (MD)
3421 GENTLE BREEZE DR # A, Upper Marlboro, MD 20772
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Other Names 1

Former Name (1)Timika Shante Fisher

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Timika Shante Goodson Fnp-c, Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9335553064
PECOS Enrollment IDI20240108006173
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 Reassignment

Medicare enrollment records show Timika Goodson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Marissa Block LLC
41 mi
Professional
200 E JOPPA RD
Towson, MD 21286
  • Reassigned Medicare billing, Maryland enrollment
  • 25 clinicians in this Medicare group
NPI 1407453939 (443) 300-6905

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 20772 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

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 Timika Goodson's NPI number?

The NPI number for Timika Goodson is 1053910794. It was assigned to this individual provider in the NPPES registry on October 23, 2020. The provider is also known as Timika Shante Fisher.

Where is Timika Goodson located?

Timika Goodson practices at 3421 Gentle Breeze Dr # A, Upper Marlboro, MD 20772. The listed phone number is (443) 529-2027.

What is Timika Goodson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Timika Goodson enrolled in Medicare?

Yes. Timika Goodson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Timika Goodson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Timika Goodson reassigns Medicare benefits to Marissa Block LLC (Towson, MD). The 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 Timika Goodson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Timika Goodson accept?

Health plans from UnitedHealthcare list Timika Goodson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Timika Goodson was last updated on January 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.