DANTE GOODWIN AGNP
NPI 1104479153
Nurse Practitioner - Adult Health in New Britain, CT

Active since July 18, 2019PECOS EnrolledAccepts Medicare Assignment
55 GRAND ST, NEW BRITAIN, CT 06052(860) 223-3617 Get Directions Write a Review

NPPES record last updated: July 18, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dante Goodwin Agnp NPPES

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

DANTE GOODWIN AGNP (NPI 1104479153) is an individual adult health provider in New Britain, Connecticut, licensed in Connecticut (8293) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1104479153
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameDANTE GOODWINCredential: AGNP
Location Address55 GRAND STNew Britain, CT 06052-2021
Mailing Address1274 E Main St Apt C13Meriden, CT 06450-4868
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 18, 2019
NPI 1104479153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in CT · 8293
55 GRAND ST, New Britain, CT 06052

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

Dante Goodwin Agnp 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 ID7911235395
PECOS Enrollment IDI20190822002779
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 06052 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers11 claims19 services$5.54 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

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

Skilled Nursing Facility
55 GRAND ST
NEW BRITAIN, CT 06052
General Practice
55 GRAND ST
NEW BRITAIN, CT 06052
Skilled Nursing Facility
55 GRAND ST
NEW BRITAIN, CT 06052
Occupational Therapist
55 GRAND ST
NEW BRITAIN, CT 06052
Occupational Therapist
55 GRAND ST
NEW BRITAIN, CT 06052
Occupational Therapist
55 GRAND ST
NEW BRITAIN, CT 06052
Occupational Therapist
55 GRAND ST
NEW BRITAIN, CT 06052

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 Dante Goodwin's NPI number?

The NPI number for Dante Goodwin is 1104479153. It was assigned to this individual provider in the NPPES registry on July 18, 2019.

Where is Dante Goodwin located?

Dante Goodwin practices at 55 Grand St, New Britain, CT 06052. The listed phone number is (860) 223-3617.

What is Dante Goodwin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Dante Goodwin enrolled in Medicare?

Yes. Dante 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.

When was this NPI record last updated?

The NPPES record for Dante Goodwin was last updated on July 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.