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MRS. CAROL ANN GOETZ FNP-C
NPI 1255322764
Nurse Practitioner - Family in Decatur, IL

Active since November 03, 2005PECOS Enrolled
45 SANDCREEK CT, DECATUR, IL 62521(217) 620-1911 Get Directions Write a Review

NPPES record last updated: October 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 20, 2021, Oct 27, 2016, Jul 12, 2016 (3 updates tracked since 2016).

About Mrs. Carol Ann Goetz Fnp-c NPPES

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

MRS. CAROL ANN GOETZ FNP-C (NPI 1255322764) is an individual family provider in Decatur, Illinois, licensed in Illinois (277.003622) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255322764
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. CAROL ANN GOETZCredential: FNP-C
Location Address45 SANDCREEK CTDecatur, IL 62521-5403
Mailing Address111 W Jackson Blvd Ste 1700Chicago, IL 60604-3597 · (888) 731-8994
Phone(217) 620-1911
Sole ProprietorNo
Enumeration DateNovember 3, 2005
Last NPPES UpdateOctober 19, 20253 updates tracked since enumeration
NPPES CertifiedOctober 19, 2025
✔ NPI 1255322764 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 · 277.003622
45 SANDCREEK CT, Decatur, IL 62521
Open in Google Maps ↗

Other Names 1

Former Name (1)Mrs. Carol Ann Lewis

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Carol Ann Goetz Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 4

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
22 services22 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
16 services16 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
11 services11 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62521 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
99%1,104 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Carol Goetz's NPI number?

The NPI number for Carol Goetz is 1255322764. It was assigned to this individual provider in the NPPES registry on November 3, 2005. The provider is also known as Mrs. Carol Ann Lewis.

Where is Carol Goetz located?

Carol Goetz practices at 45 Sandcreek Ct, Decatur, IL 62521. The listed phone number is (217) 620-1911.

What is Carol Goetz's specialty?

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

Is Carol Goetz enrolled in Medicare?

Yes. Carol Goetz is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Carol Goetz was last updated on October 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.