MRS. KRYSTAL B GOODWIN APN
NPI 1093250318
Nurse Practitioner - Family in Collierville, TN

Q: What is Krystal Goodwin's NPI number?

The NPI number for Krystal Goodwin is 1093250318. It was assigned to this individual provider in the NPPES registry on December 21, 2016.

Q: What is Krystal Goodwin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Krystal Goodwin was last updated on February 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since December 21, 2016PECOS Enrolled

1985 COORS CREEK CV, COLLIERVILLE, TN 38017(901) 361-2900 Get Directions Write a Review

NPPES record last updated: February 2, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 2, 2026, Dec 21, 2016 (2 updates tracked since 2016).

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About Mrs. Krystal B Goodwin Apn NPPES

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

MRS. KRYSTAL B GOODWIN APN (NPI 1093250318) is an individual family provider in Collierville, Tennessee, licensed in Tennessee (21953) and active in the NPI registry since December 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093250318

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. KRYSTAL B GOODWINCredential: APN

Location Address1985 COORS CREEK CVCollierville, TN 38017-8893

Mailing Address1985 Coors Creek CvCollierville, TN 38017-8893 · (901) 361-2900

Phone(901) 361-2900

Sole ProprietorNo

Enumeration DateDecember 21, 2016

Last NPPES UpdateFebruary 2, 20262 updates tracked since enumeration

NPPES CertifiedFebruary 2, 2026

✔ NPI 1093250318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in TN · 21953

1985 COORS CREEK CV, Collierville, TN 38017

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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)

Mrs. Krystal B Goodwin Apn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Krystal Goodwin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Midsouth Independent Group, PLLC

6.9 mi

Internal Medicine

6401 POPLAR AVE STE 604
Memphis, TN 38119

Reassigned Medicare billing, Tennessee enrollment
35 clinicians in this Medicare group

NPI 1861009326 (901) 474-2402

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 38017 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.

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 Krystal Goodwin's NPI number?

The NPI number for Krystal Goodwin is 1093250318. It was assigned to this individual provider in the NPPES registry on December 21, 2016.

Where is Krystal Goodwin located?

Krystal Goodwin practices at 1985 Coors Creek Cv, Collierville, TN 38017. The listed phone number is (901) 361-2900.

What is Krystal Goodwin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Krystal Goodwin enrolled in Medicare?

Yes. Krystal Goodwin is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Krystal Goodwin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Krystal Goodwin reassigns Medicare benefits to Midsouth Independent Group, PLLC (Memphis, TN). 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 Krystal Goodwin'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 Krystal Goodwin was last updated on February 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.