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TONYA GOODMAN APRN-PMHNP
NPI 1134738461
Nurse Practitioner - Psychiatric/Mental Health in Prospect, CT

Active since July 22, 2020Opted out of Medicare · through Jan 1, 2027
89.4/100
CMS Quality Rating
104 WATERBURY RD, PROSPECT, CT 06712(860) 479-1586 Get Directions Write a Review

NPPES record last updated: February 28, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 28, 2023, Aug 5, 2020, Jul 22, 2020 (3 updates tracked since 2020).

About Tonya Goodman Aprn-pmhnp NPPES

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

TONYA GOODMAN APRN-PMHNP (NPI 1134738461) is an individual psychiatric/mental health provider in Prospect, Connecticut, licensed in Connecticut (8967) and active in the NPI registry since July 2020. She has opted out of Medicare through January 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1134738461
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameTONYA GOODMANCredential: APRN-PMHNP
Location Address104 WATERBURY RDProspect, CT 06712-1253
Mailing Address104 Waterbury RdProspect, CT 06712-1253 · (860) 479-1586 · Fax (203) 503-6515
Phone(860) 479-1586
Sole ProprietorNo
Enumeration DateJuly 22, 2020
Last NPPES UpdateFebruary 28, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 28, 2023
✔ NPI 1134738461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CT · 8967
104 WATERBURY RD, Prospect, CT 06712
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Tonya Goodman Aprn-pmhnp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2025 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2025
Opt-Out In Effect ThroughJanuary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06712 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

89.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.18
Improvement Activities40
Cost71.32

Other Providers at the Same Location NPPES

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

RESTORATION HEALTH AND WELLNESS SERVICES
Nurse Practitioner (Psychiatric/Mental Health)
104 WATERBURY RD
PROSPECT, CT 06712
Naugatuck Valley Planning Region (860) 479-1586

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 Tonya Goodman's NPI number?

The NPI number for Tonya Goodman is 1134738461. It was assigned to this individual provider in the NPPES registry on July 22, 2020.

Where is Tonya Goodman located?

Tonya Goodman practices at 104 Waterbury Rd, Prospect, CT 06712. The listed phone number is (860) 479-1586.

What is Tonya Goodman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Tonya Goodman enrolled in Medicare?

No. Tonya Goodman has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Tonya Goodman accept?

Health plans from Providence Health Plan list Tonya Goodman 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 Tonya Goodman was last updated on February 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.