THERON CROFT GOUDEAU F.N.P.
NPI 1275928756
Nurse Practitioner in Walnut Creek, CA
About Theron Croft Goudeau F.n.p. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THERON CROFT GOUDEAU F.N.P. (NPI 1275928756) is an individual nurse practitioner in Walnut Creek, California, licensed in California (95001788) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Theron Croft Goudeau F.n.p. 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.
Medicare Billing Reassignments
2Medicare enrollment records show Theron Goudeau reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Walnut Creek, CA 94597
- Reassigned Medicare billing, California enrollment
- 650 clinicians in this Medicare group
San Francisco, CA 94111
- Reassigned Medicare billing, California enrollment
- 291 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.
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94598 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 14
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 Theron Goudeau's NPI number?
The NPI number for Theron Goudeau is 1275928756. It was assigned to this individual provider in the NPPES registry on April 1, 2015.
Where is Theron Goudeau located?
Theron Goudeau practices at 2337 Oak Grove Rd, Walnut Creek, CA 94598. The listed phone number is (888) 663-6331.
What is Theron Goudeau's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Theron Goudeau enrolled in Medicare?
Yes. Theron Goudeau 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.
Which organizations bill Medicare for Theron Goudeau's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Theron Goudeau reassigns Medicare benefits to 2 organizations: John Muir Physician Network (Walnut Creek, CA) and One Medical Group, Inc. (San Francisco, CA). Each 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 Theron Goudeau'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 Theron Goudeau was last updated on March 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Theron Croft Goudeau, F.N.P. · NPI 1275928756
Nurse Practitioner physician in Walnut Creek, California. Individual provider, active in the CMS NPPES registry since April 1, 2015.
## Identity
- **NPI:** 1275928756 (Entity type: Individual)
- **Enumerated:** April 1, 2015
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 95001788 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 2337 OAK GROVE RD, Walnut Creek, CA 94598-3506
- **Phone:** (888) 663-6331 · **Fax:** (415) 252-7176
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): John Muir Physician Network (NPI 1841407665, Walnut Creek, CA); One Medical Group, Inc. (NPI 1467781641, San Francisco, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** March 17, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1275928756) · Data from the CMS NPPES public registry.