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DANIELLE GODWIN PA-C
NPI 1164063509
Physician Assistant in Grand Rapids, MI

Active since October 07, 2019PECOS EnrolledAccepts Medicare Assignment
3225 N EVERGREEN DR NE, GRAND RAPIDS, MI 49525(616) 364-1500 Get Directions Write a Review

NPPES record last updated: November 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 6, 2024, Aug 8, 2023, Oct 7, 2019 (3 updates tracked since 2019).

About Danielle Godwin Pa-c NPPES

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

DANIELLE GODWIN PA-C (NPI 1164063509) is an individual physician assistant in Grand Rapids, Michigan, licensed in Michigan (5601009494) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1164063509
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameDANIELLE GODWINCredential: PA-C
Location Address3225 N EVERGREEN DR NEGrand Rapids, MI 49525-9334
Mailing Address300 68th St SeGrand Rapids, MI 49548-6927 · (616) 455-5000
Phone(616) 364-1500
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 7, 2019
Last NPPES UpdateNovember 6, 20243 updates tracked since enumeration
NPPES CertifiedNovember 6, 2024
✔ NPI 1164063509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MI · 5601009494
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3225 N EVERGREEN DR NE, Grand Rapids, MI 49525
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Other Names 1

Former Name (1)Danielle Derbes Pa-c

Secondary Practice Locations 2

Location 16505 Cherry Meadow Dr SECaledonia, MI 49316-9484 · Phone (616) 891-8770 · Fax (616) 891-3504
Location 2300 68th St SEGrand Rapids, MI 49548-6927 · Phone (616) 455-5270

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.Insurance ›

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

Danielle Godwin Pa-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.

PECOS PAC ID8729410584
PECOS Enrollment IDI20191115001357
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 49525 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

JOSHUA A GODFREY LMSW
Social Worker (Clinical)
3225 N EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Kent County (616) 364-1500
KAITLYN ELIZABETH RUGER LMSW
Social Worker (Clinical)
3225 N EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Kent County (616) 364-1500
AMY LYNN PISCOPINK TAYLOR M.A., LPC
Counselor (Professional)
3225 N EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Kent County (616) 364-1500
JONATHAN GRAHAM BJORK LPC
Counselor (Professional)
3225 N EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Kent County (616) 364-1500
VANESSA PAIGE HOGARTH LMSW
Social Worker
3225 N EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Kent County (616) 364-1500
SAMANTHA BINNS LMSW
Social Worker (Clinical)
3225 N EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Kent County (616) 364-1500
KATHRYN LAMB LMSW
Social Worker (Clinical)
3225 N EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Kent County (616) 364-1500
AMANDA JANE MILLER LLP
Psychologist
3225 N EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Kent County (163) 641-5006

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 Danielle Godwin's NPI number?

The NPI number for Danielle Godwin is 1164063509. It was assigned to this individual provider in the NPPES registry on October 7, 2019. The provider is also known as Danielle Derbes Pa-C.

Where is Danielle Godwin located?

Danielle Godwin practices at 3225 N Evergreen Dr NE, Grand Rapids, MI 49525. The listed phone number is (616) 364-1500.

What is Danielle Godwin's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Danielle Godwin enrolled in Medicare?

Yes. Danielle Godwin 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.

What insurance does Danielle Godwin accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Danielle Godwin 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 Danielle Godwin was last updated on November 6, 2024. 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.