JENNIFER ROSS GOODWIN PNP-PC
NPI 1083246474
Nurse Practitioner in Hattiesburg, MS
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
Specialties & Licenses 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Jennifer Goodwin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hattiesburg, MS 39401
- Reassigned Medicare billing, Mississippi enrollment
- 696 clinicians in this Medicare group
Hattiesburg, MS 39401
- Reassigned Medicare billing, Mississippi enrollment
- Medicare enrollment name: Southeast Mississippi Rural Health Initiative, Inc.
- 62 clinicians in this Medicare group
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 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.
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.
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.
Which organizations bill Medicare for Jennifer Goodwin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Goodwin reassigns Medicare benefits to 2 organizations: Hattiesburg Clinic PA (Hattiesburg, MS) and Minor Care Clinic (Hattiesburg, MS). 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 Jennifer Goodwin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jennifer Goodwin accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 4 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Jennifer Ross Goodwin, PNP-PC · NPI 1083246474
Nurse Practitioner physician in Hattiesburg, Mississippi. Individual provider, active in the CMS NPPES registry since February 4, 2020.
## Identity
- **NPI:** 1083246474 (Entity type: Individual)
- **Enumerated:** February 4, 2020
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 864754 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 102 MEDICAL PARK, Hattiesburg, MS 39401-9080
- **Phone:** (601) 261-5159
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Hattiesburg Clinic PA (NPI 1497837801, Hattiesburg, MS); Minor Care Clinic (NPI 1508874769, Hattiesburg, MS) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** March 25, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1083246474) · Data from the CMS NPPES public registry.