MAUREEN GOINES APNP
NPI 1205368396
Nurse Practitioner - Family in Mount Pleasant, WI

Q: What is Maureen Goines's NPI number?

The NPI number for Maureen Goines is 1205368396. It was assigned to this individual provider in the NPPES registry on March 29, 2017.

Q: What is Maureen Goines's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Maureen Goines was last updated on March 29, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since March 29, 2017PECOS EnrolledAccepts Medicare Assignment

82.39/100

CMS Quality Rating

3807 SPRING ST, MOUNT PLEASANT, WI 53405(262) 687-8173 Get Directions Write a Review

NPPES record last updated: March 29, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Maureen Goines Apnp NPPES

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

MAUREEN GOINES APNP (NPI 1205368396) is an individual family provider in Mount Pleasant, Wisconsin, licensed in Wisconsin (7610) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with Ascension All Saints Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1205368396

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMAUREEN GOINESCredential: APNP

Location Address3807 SPRING STMount Pleasant, WI 53405-1667

Mailing Address3807 Spring StMount Pleasant, WI 53405-1667 · (262) 687-8173

Phone(262) 687-8173

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateMarch 29, 2017

✔ NPI 1205368396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in WI · 7610

3807 SPRING ST, Mount Pleasant, WI 53405

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Network Health.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

Maureen Goines Apnp 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 ID3971872938

PECOS Enrollment IDI20170706002141

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.

Areas of Expertise CMS Part B claims 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

124 services61 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

30 services30 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

29 services21 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension All Saints Hospital

Acute Care Hospitals · Racine, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number520096

Location3801 Spring StRacine, WI 53405 · Racine County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53405 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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.

82.39/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

77.88

Promoting Interoperability

Improvement Activities

Cost

74.38

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.

JEFFREY NAUS MD

Pediatrics

3807 SPRING ST
RACINE, WI 53405

Racine County (262) 687-8282

CAMILLE A. PAQUETTE-SCHULGIT M.D.

Family Medicine

3807 SPRING ST
RACINE, WI 53405

Racine County (262) 687-8173

LESLEY DELGADO M.D.

Pediatrics

3807 SPRING ST
MOUNT PLEASANT, WI 53405

Racine County (262) 687-8282

SACHIN H. PANCHAL M.D.

Internal Medicine

3807 SPRING ST
MOUNT PLEASANT, WI 53405

Racine County (262) 687-4011

MS. LINDA M THOMSON RPH

Pharmacist

3807 SPRING ST
RACINE, WI 53405

Racine County (262) 687-8430

ASCENSION ALL SAINTS HOSPITAL, INC

Pharmacy (Community/Retail Pharmacy)

3807 SPRING ST
MOUNT PLEASANT, WI 53405

Racine County (262) 687-8430

LESLIE M HERTZ MD

Pediatrics

3807 SPRING ST
RACINE, WI 53405

Racine County (262) 687-8282

KYLIE S NORDNESS PA-C

Physician Assistant

3807 SPRING ST
RACINE, WI 53405

Racine County (262) 687-8173

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 Maureen Goines's NPI number?

The NPI number for Maureen Goines is 1205368396. It was assigned to this individual provider in the NPPES registry on March 29, 2017.

Where is Maureen Goines located?

Maureen Goines practices at 3807 Spring St, Mount Pleasant, WI 53405. The listed phone number is (262) 687-8173.

What is Maureen Goines's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Maureen Goines enrolled in Medicare?

Yes. Maureen Goines 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 Maureen Goines accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list Maureen Goines 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.

Is Maureen Goines affiliated with any hospitals?

According to CMS data, Maureen Goines is affiliated with Ascension All Saints Hospital.

When was this NPI record last updated?

The NPPES record for Maureen Goines was last updated on March 29, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.