MRS. ALICIA DORETHEA GOODMAN FNP-C
NPI 1346069960
Nurse Practitioner - Family in Gulfport, MS
About Mrs. Alicia Dorethea Goodman Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. ALICIA DORETHEA GOODMAN FNP-C (NPI 1346069960) is an individual family provider in Gulfport, Mississippi, licensed in Mississippi (906660) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Alicia Dorethea Goodman Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Alicia Goodman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Gulfport, MS 39501
- Reassigned Medicare billing, Mississippi enrollment
- 731 clinicians in this Medicare group
Hattiesburg, MS 39402
- Reassigned Medicare billing, Mississippi enrollment
- 50 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 39501 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 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GULFPORT, MS 39501
GULFPORT, MS 39501
GULFPORT, MS 39501
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 Alicia Goodman's NPI number?
The NPI number for Alicia Goodman is 1346069960. It was assigned to this individual provider in the NPPES registry on October 9, 2024. The provider is also known as Alicia Dorethea Wells.
Where is Alicia Goodman located?
Alicia Goodman practices at 4300B W Railroad St, Gulfport, MS 39501. The listed phone number is (228) 822-6722.
What is Alicia Goodman's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Alicia Goodman enrolled in Medicare?
Yes. Alicia Goodman is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Alicia Goodman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alicia Goodman reassigns Medicare benefits to 2 organizations: Memorial Hospital At Gulfport (Gulfport, MS) and Hattiesburg Hb Medical Services LLC (Hattiesburg, MS). 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 Alicia Goodman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Alicia Goodman accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Alicia Goodman 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 Alicia Goodman was last updated on October 9, 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.
# Mrs. Alicia Dorethea Goodman, FNP-C · NPI 1346069960
Family physician in Gulfport, Mississippi. Individual provider, active in the CMS NPPES registry since October 9, 2024.
## Identity
- **NPI:** 1346069960 (Entity type: Individual)
- **Enumerated:** October 9, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 906660 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 4300B W RAILROAD ST, Gulfport, MS 39501-2568
- **Phone:** (228) 822-6722
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **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): Memorial Hospital At Gulfport (NPI 1073606901, Gulfport, MS); Hattiesburg Hb Medical Services LLC (NPI 1699456376, Hattiesburg, MS) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 9, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1346069960) · Data from the CMS NPPES public registry.