Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SEAN GODDARD MSN, APRN, PMHNP-C
NPI 1285117143
Nurse Practitioner - Psychiatric/Mental Health in Fort Wayne, IN

Active since September 07, 2018PECOS Enrolled
9025 COLDWATER RD STE 100, FORT WAYNE, IN 46825(260) 459-9225(260) 800-1512 Get Directions Write a Review

NPPES record last updated: October 22, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2026, Aug 17, 2021, Sep 23, 2020 and 2 more (5 updates tracked since 2018).

About Sean Goddard Msn, Aprn, Pmhnp-c NPPES

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

SEAN GODDARD MSN, APRN, PMHNP-C (NPI 1285117143) is an individual psychiatric/mental health provider in Fort Wayne, Indiana, licensed in Indiana (71008436A) and active in the NPI registry since September 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1285117143
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameSEAN GODDARDCredential: MSN, APRN, PMHNP-C
Location Address9025 COLDWATER RD STE 100Fort Wayne, IN 46825-2071
Mailing Address9025 Coldwater Rd Ste 100Fort Wayne, IN 46825-2071 · (260) 459-9225 · Fax (260) 800-1512
Fax(260) 800-1512
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 7, 2018
Last NPPES UpdateOctober 22, 20265 updates tracked since enumeration
NPPES CertifiedOctober 22, 2026
✔ NPI 1285117143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in IN · 71008436A
Also ListedNurse PractitionerTaxonomy 363L00000X · License 28206231A (IN)
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 71008436A (IN)
9025 COLDWATER RD STE 100, Fort Wayne, IN 46825

Accepted Insurance

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

Sean Goddard Msn, Aprn, Pmhnp-c 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 ID5294088670
PECOS Enrollment IDI20181101001078
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.

Medicare Billing Reassignment

Medicare enrollment records show Sean Goddard reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychiatry
9025 COLDWATER RD STE 100
Fort Wayne, IN 46825
  • Reassigned Medicare billing, Indiana enrollment
  • 6 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 46825 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
9025 COLDWATER RD STE 100
FORT WAYNE, IN 46825
Psychiatry & Neurology (Psychiatry)
9025 COLDWATER RD STE 100
FORT WAYNE, IN 46825

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 Sean Goddard's NPI number?

The NPI number for Sean Goddard is 1285117143. It was assigned to this individual provider in the NPPES registry on September 7, 2018.

Where is Sean Goddard located?

Sean Goddard practices at 9025 Coldwater Rd Ste 100, Fort Wayne, IN 46825. The listed phone number is (260) 459-9225.

What is Sean Goddard's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Sean Goddard enrolled in Medicare?

Yes. Sean Goddard 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 organization bills Medicare for Sean Goddard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sean Goddard reassigns Medicare benefits to Viking Psychiatry LLC (Fort Wayne, IN). 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 Sean Goddard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sean Goddard accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Sean Goddard 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.

When was this NPI record last updated?

The NPPES record for Sean Goddard was last updated on October 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.