MIKAELA R GOODWATER FNP-C
NPI 1154143089
Nurse Practitioner - Family in Canon City, CO
About Mikaela R Goodwater Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MIKAELA R GOODWATER FNP-C (NPI 1154143089) is an individual family provider in Canon City, Colorado, licensed in Colorado (APN.1000278-NP) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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
Mikaela R Goodwater Fnp-c 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 Mikaela Goodwater reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Canon City, CO 81212
- Reassigned Medicare billing, Colorado enrollment
- 9 clinicians in this Medicare group
Denver, CO 80202
- Reassigned Medicare billing, Colorado enrollment
- 90 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 81212 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 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Mikaela Goodwater's NPI number?
The NPI number for Mikaela Goodwater is 1154143089. It was assigned to this individual provider in the NPPES registry on October 30, 2024. The provider is also known as Mikaela R Carlock.
Where is Mikaela Goodwater located?
Mikaela Goodwater practices at 715 S 9th St, Canon City, CO 81212. The listed phone number is (719) 269-8820.
What is Mikaela Goodwater's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Mikaela Goodwater enrolled in Medicare?
Yes. Mikaela Goodwater 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 Mikaela Goodwater's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mikaela Goodwater reassigns Medicare benefits to 2 organizations: Button Family Practice PC (Canon City, CO) and Alpine Medical Group Colorado PLLC (Denver, CO). 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 Mikaela Goodwater'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 Mikaela Goodwater was last updated on February 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.
# Mikaela R Goodwater, FNP-C · NPI 1154143089
Family physician in Canon City, Colorado. Individual provider, active in the CMS NPPES registry since October 30, 2024.
## Identity
- **NPI:** 1154143089 (Entity type: Individual)
- **Enumerated:** October 30, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** APN.1000278-NP (Colorado)
- **Sole proprietor:** No
## Practice location
- **Address:** 715 S 9TH ST, Canon City, CO 81212-4911
- **Phone:** (719) 269-8820
## 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): Button Family Practice PC (NPI 1144269739, Canon City, CO); Alpine Medical Group Colorado PLLC (NPI 1104501873, Denver, CO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** February 7, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1154143089) · Data from the CMS NPPES public registry.