ANGELA S GOODSON-ACEVEDO
NPI 1245745967
Nurse Practitioner - Family in Chantilly, VA

Active since December 04, 2017PECOS EnrolledAccepts Medicare Assignment
14121 PARKE LONG CT, CHANTILLY, VA 20151(571) 449-3585 Get Directions Write a Review

NPPES record last updated: May 8, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 8, 2018, Dec 4, 2017 (2 updates tracked since 2017).

About Angela S Goodson-acevedo NPPES

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

ANGELA S GOODSON-ACEVEDO (NPI 1245745967) is an individual family provider in Chantilly, Virginia, licensed in Illinois (209015423) and active in the NPI registry since December 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Evergreen Park, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1245745967
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANGELA S GOODSON-ACEVEDO
Location Address14121 PARKE LONG CTChantilly, VA 20151-1647
Mailing Address14121 Parke Long CtChantilly, VA 20151-1647 · (571) 449-3585
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateDecember 4, 2017
Last NPPES UpdateMay 8, 20182 updates tracked since enumeration
NPI 1245745967 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 IL · 209015423
14121 PARKE LONG CT, Chantilly, VA 20151

Secondary Practice Location 1

Location 19125 S Pulaski RdEvergreen Park, IL 60805-1441 · Phone (708) 422-7715 · Fax (708) 422-7816

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

Angela S Goodson-acevedo 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 ID3870856545
PECOS Enrollment IDI20180410002453
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 20151 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

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.

Nurse Practitioner (Family)
14121 PARKE LONG CT
CHANTILLY, VA 20151
Nurse Practitioner (Gerontology)
14121 PARKE LONG CT, SUITE 200 & 201
CHANTILLY, VA 20151
Registered Nurse (Case Management)
14121 PARKE LONG CT, SUITE 201
CHANTILLY, VA 20151
Nurse Practitioner (Gerontology)
14121 PARKE LONG CT, SUITE 201
CHANTILLY, VA 20151
Nurse Practitioner (Family)
14121 PARKE LONG CT, SUITE 201
CHANTILLY, VA 20151
Nurse Practitioner (Family)
14121 PARKE LONG CT
CHANTILLY, VA 20151
Nurse Practitioner (Family)
14121 PARKE LONG CT
CHANTILLY, VA 20151
Specialist
14121 PARKE LONG CT, SUITE 112
CHANTILLY, VA 20151

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 Angela Goodson-acevedo's NPI number?

The NPI number for Angela Goodson-acevedo is 1245745967. It was assigned to this individual provider in the NPPES registry on December 4, 2017.

Where is Angela Goodson-acevedo located?

Angela Goodson-acevedo practices at 14121 Parke Long Ct, Chantilly, VA 20151. The listed phone number is (571) 449-3585.

What is Angela Goodson-acevedo's specialty?

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

Is Angela Goodson-acevedo enrolled in Medicare?

Yes. Angela Goodson-acevedo 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.

When was this NPI record last updated?

The NPPES record for Angela Goodson-acevedo was last updated on May 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.