KORY GOETZ APRN
NPI 1205372844
Nurse Practitioner - Primary Care in St Petersburg, FL
About Kory Goetz Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KORY GOETZ APRN (NPI 1205372844) is an individual primary care provider in St Petersburg, Florida, licensed in Florida (ARNP9355090) and active in the NPI registry since January 2017. He is enrolled in Medicare PECOS.
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 (PECOS)
Kory Goetz Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kory Goetz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
St Petersburg, FL 33713
- Reassigned Medicare billing, Florida enrollment
- 220 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 33713 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.
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 Kory Goetz's NPI number?
The NPI number for Kory Goetz is 1205372844. It was assigned to this individual provider in the NPPES registry on January 6, 2017. The provider is also known as Kory Turnow Aprn.
Where is Kory Goetz located?
Kory Goetz practices at 1839 Central Ave, St Petersburg, FL 33713. The listed phone number is (727) 322-1054.
What is Kory Goetz's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Kory Goetz enrolled in Medicare?
Yes. Kory Goetz is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kory Goetz's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kory Goetz reassigns Medicare benefits to Professional Health Care Of Pinellas LLC (St Petersburg, FL). 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 Kory Goetz'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 Kory Goetz was last updated on October 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days 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.
# Kory Goetz, APRN · NPI 1205372844
Primary Care physician in St Petersburg, Florida. Individual provider, active in the CMS NPPES registry since January 6, 2017.
## Identity
- **NPI:** 1205372844 (Entity type: Individual)
- **Enumerated:** January 6, 2017
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** ARNP9355090 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1839 CENTRAL AVE, St Petersburg, FL 33713-8900
- **Phone:** (727) 322-1054 · **Fax:** (727) 821-7213
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Professional Health Care Of Pinellas LLC (NPI 1881647253, St Petersburg, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 21, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1205372844) · Data from the CMS NPPES public registry.