MR. JASON R. GOODWIN C.R.N.A.
NPI 1124016399
Nurse Anesthetist, Certified Registered in Fort Collins, CO
About Mr. Jason R. Goodwin C.r.n.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JASON R. GOODWIN C.R.N.A. (NPI 1124016399) is an individual nurse anesthetist, certified registered in Fort Collins, Colorado, licensed in Colorado (121533) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1999).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
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
Mr. Jason R. Goodwin C.r.n.a. 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 Reassignment
Medicare enrollment records show Jason Goodwin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Loveland, CO 80538
- Reassigned Medicare billing, Colorado enrollment
- 10 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.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 80524 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FORT COLLINS, CO 80524
FORT COLLINS, CO 80524
FORT COLLINS, CO 80524
FORT COLLINS, CO 80524
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 Jason Goodwin's NPI number?
The NPI number for Jason Goodwin is 1124016399. It was assigned to this individual provider in the NPPES registry on October 11, 2005.
Where is Jason Goodwin located?
Jason Goodwin practices at 1236 E Elizabeth St Suite 1, Fort Collins, CO 80524. The listed phone number is (970) 224-2985.
What is Jason Goodwin's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Jason Goodwin enrolled in Medicare?
Yes. Jason 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 organization bills Medicare for Jason Goodwin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jason Goodwin reassigns Medicare benefits to Summit Eye Center PC (Loveland, CO). 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 Jason 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 Jason Goodwin was last updated on February 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Mr. Jason R. Goodwin, C.R.N.A. · NPI 1124016399
Nurse Anesthetist, Certified Registered physician in Fort Collins, Colorado. Individual provider, active in the CMS NPPES registry since October 11, 2005.
## Identity
- **NPI:** 1124016399 (Entity type: Individual)
- **Enumerated:** October 11, 2005
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 121533 (Colorado)
- **Sole proprietor:** No
## Practice location
- **Address:** 1236 E ELIZABETH ST, SUITE 1, Fort Collins, CO 80524-4000
- **Phone:** (970) 224-2985 · **Fax:** (970) 472-9381
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** Summit Eye Center PC (NPI 1548215346, Loveland, CO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1999
## Record status
- **NPPES last updated:** February 18, 2011
- **Other identifiers:** Medicare PIN 430054231 (CO); Medicare PIN C188438 (CO); Medicaid 117082100 (WY); and 1 more
---
Source: [NPI Profile](https://npiprofile.com/npi/1124016399) · Data from the CMS NPPES public registry.