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

Q: 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.

Q: 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.

Q: 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.

Active since October 23, 2020PECOS EnrolledAccepts Medicare Assignment

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: August 02, 2026.

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

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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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Timika Shante Goodson Fnp-c, Pmhnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9335553064

PECOS Enrollment IDI20230418001697

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.

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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

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.