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MARIALIZA GODOY PADILLA JACKSON APRN, MSN,PMHNP-BC
NPI 1306536545
Nurse Practitioner - Psychiatric/Mental Health in Chesterfield, MI

Active since May 10, 2023PECOS Enrolled
51999 COPPER CREEK CT, CHESTERFIELD, MI 48047(586) 275-9658 Get Directions Write a Review

NPPES record last updated: June 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 3, 2024, Feb 5, 2024, May 10, 2023 (3 updates tracked since 2023).

About Marializa Godoy Padilla Jackson Aprn, Msn,pmhnp-bc NPPES

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

MARIALIZA GODOY PADILLA JACKSON APRN, MSN,PMHNP-BC (NPI 1306536545) is an individual psychiatric/mental health provider in Chesterfield, Michigan, licensed in Michigan (4704188063) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306536545
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMARIALIZA GODOY PADILLA JACKSONCredential: APRN, MSN,PMHNP-BC
Location Address51999 COPPER CREEK CTChesterfield, MI 48047-5968
Mailing Address51999 Copper Creek CtChesterfield, MI 48047-5968 · (586) 275-9658
Phone(586) 275-9658
Sole ProprietorNo
Enumeration DateMay 10, 2023
Last NPPES UpdateJune 3, 20243 updates tracked since enumeration
NPPES CertifiedJune 3, 2024
✔ NPI 1306536545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MI · 4704188063
51999 COPPER CREEK CT, Chesterfield, MI 48047
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Other Names 1

Former Name (1)Maria Liza Godoy Laureta Bsn, Rn

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marializa Godoy Padilla Jackson Aprn, Msn,pmhnp-bc 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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
71 services33 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
36 services36 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
32 services32 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
28 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48047 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

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 Marializa Godoy Jackson's NPI number?

The NPI number for Marializa Godoy Jackson is 1306536545. It was assigned to this individual provider in the NPPES registry on May 10, 2023. The provider is also known as Maria Liza Godoy Laureta Bsn, Rn.

Where is Marializa Godoy Jackson located?

Marializa Godoy Jackson practices at 51999 Copper Creek Ct, Chesterfield, MI 48047. The listed phone number is (586) 275-9658.

What is Marializa Godoy Jackson's specialty?

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

Is Marializa Godoy Jackson enrolled in Medicare?

Yes. Marializa Godoy Jackson is registered in the Medicare PECOS enrollment system.

What insurance does Marializa Godoy Jackson accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Marializa Godoy Jackson 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 Marializa Godoy Jackson was last updated on June 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.