KELLY LEDOUX GODWIN PA-C
NPI 1285136093
Physician Assistant in Appleton, WI

Active since March 07, 2018PECOS EnrolledAccepts Medicare Assignment
3925 N GATEWAY DR, APPLETON, WI 54913(920) 380-4999(920) 380-4961 Get Directions Write a Review

NPPES record last updated: October 3, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 15, 2018, Mar 7, 2018 (2 updates tracked since 2018).

About Kelly Ledoux Godwin Pa-c NPPES

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

KELLY LEDOUX GODWIN PA-C (NPI 1285136093) is an individual physician assistant in Appleton, Wisconsin, licensed in Wisconsin (8503) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Fayetteville, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1285136093
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELLY LEDOUX GODWINCredential: PA-C
Location Address3925 N GATEWAY DRAppleton, WI 54913-7863
Mailing Address3 Neenah CtrNeenah, WI 54956-3070 · (920) 830-5900 · Fax (920) 830-5910
Fax(920) 380-4961
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 7, 2018
Last NPPES UpdateOctober 3, 20252 updates tracked since enumeration
NPPES CertifiedOctober 3, 2025
NPI 1285136093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in WI · 8503 Licensed in NC · 0010-07941
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

3925 N GATEWAY DR, Appleton, WI 54913

Other Names 1

Former Name (1)Kelly M Ledoux

Secondary Practice Location 1

Location 11601 Owen DrFayetteville, NC 28304-3425 · Phone (910) 678-0100 · Fax (910) 678-7022

Accepted Insurance

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

Kelly Ledoux Godwin Pa-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 ID2264797075
PECOS Enrollment IDI20180529001267
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 7

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
80 services43 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.
68 services42 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
48 services42 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
34 services30 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
29 services29 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
20 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54913 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$169.80 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Pharmacy (Community/Retail Pharmacy)
3925 N GATEWAY DR, SUITE 100
APPLETON, WI 54913
Family Medicine
3925 N GATEWAY DR
APPLETON, WI 54913
Nurse Practitioner (Family)
3925 N GATEWAY DR
APPLETON, WI 54913
Nurse Practitioner (Family)
3925 N GATEWAY DR
APPLETON, WI 54913
Internal Medicine
3925 N GATEWAY DR
APPLETON, WI 54913
Family Medicine
3925 N GATEWAY DR
APPLETON, WI 54913
Family Medicine
3925 N GATEWAY DR
APPLETON, WI 54913
Nurse Practitioner (Family)
3925 N GATEWAY DR
APPLETON, WI 54913

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 Kelly Godwin's NPI number?

The NPI number for Kelly Godwin is 1285136093. It was assigned to this individual provider in the NPPES registry on March 7, 2018. The provider is also known as Kelly M Ledoux.

Where is Kelly Godwin located?

Kelly Godwin practices at 3925 N Gateway Dr, Appleton, WI 54913. The listed phone number is (920) 380-4999.

What is Kelly Godwin's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kelly Godwin enrolled in Medicare?

Yes. Kelly Godwin 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.

What insurance does Kelly Godwin accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and CareSource (Common Ground Healthcare) and 1 other insurer list Kelly Godwin 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 Kelly Godwin was last updated on October 3, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.