JENNIFER ROSS GOODWIN PNP-PC
NPI 1083246474
Nurse Practitioner in Hattiesburg, MS

Active since February 04, 2020PECOS EnrolledAccepts Medicare Assignment
102 MEDICAL PARK, HATTIESBURG, MS 39401(601) 261-5159 Get Directions Write a Review

NPPES record last updated: March 25, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 25, 2025, Mar 17, 2023, Nov 3, 2021 and 1 more (4 updates tracked since 2020).

About Jennifer Ross Goodwin Pnp-pc NPPES

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

JENNIFER ROSS GOODWIN PNP-PC (NPI 1083246474) is an individual nurse practitioner in Hattiesburg, Mississippi, licensed in Mississippi (864754) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1083246474
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJENNIFER ROSS GOODWINCredential: PNP-PC
Location Address102 MEDICAL PARKHattiesburg, MS 39401-9080
Mailing Address415 S 28th AveHattiesburg, MS 39401-7246 · (601) 261-5159
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateFebruary 4, 2020
Last NPPES UpdateMarch 25, 20254 updates tracked since enumeration
NPPES CertifiedMarch 25, 2025
NPI 1083246474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in MS · 864754
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.
Also ListedRegistered NurseTaxonomy 163W00000X · License 865754 (MS)
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X · License 865754 (MS)
102 MEDICAL PARK, Hattiesburg, MS 39401

Accepted 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

Jennifer Ross Goodwin Pnp-pc 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 ID1355733924
PECOS Enrollment IDI20220112001446
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 39401 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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 18

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

Nurse Practitioner
102 MEDICAL PARK
HATTIESBURG, MS 39401
Psychologist
102 MEDICAL PARK
HATTIESBURG, MS 39401
Speech-Language Pathologist
102 MEDICAL PARK
HATTIESBURG, MS 39401
Pediatrics
102 MEDICAL PARK
HATTIESBURG, MS 39401
Clinic/Center (Adolescent and Children Mental Health)
102 MEDICAL PARK
HATTIESBURG, MS 39401
Counselor (Professional)
102 MEDICAL PARK
HATTIESBURG, MS 39401
Psychologist
102 MEDICAL PARK
HATTIESBURG, MS 39401
Physician Assistant
102 MEDICAL PARK
HATTIESBURG, MS 39401

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 Jennifer Goodwin's NPI number?

The NPI number for Jennifer Goodwin is 1083246474. It was assigned to this individual provider in the NPPES registry on February 4, 2020.

Where is Jennifer Goodwin located?

Jennifer Goodwin practices at 102 Medical Park, Hattiesburg, MS 39401. The listed phone number is (601) 261-5159.

What is Jennifer Goodwin's specialty?

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

Is Jennifer Goodwin enrolled in Medicare?

Yes. Jennifer Goodwin 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 Jennifer Goodwin accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 3 other insurers list Jennifer Goodwin 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 Jennifer Goodwin was last updated on March 25, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.