MRS. ALICIA DORETHEA GOODMAN FNP-C
NPI 1346069960
Nurse Practitioner - Family in Gulfport, MS

Q: 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.

Q: What is Alicia Goodman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Alicia Goodman was last updated on October 9, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 09, 2024PECOS Enrolled

4300B W RAILROAD ST, GULFPORT, MS 39501(228) 822-6722 Get Directions Write a Review

NPPES record last updated: October 9, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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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

NPI1346069960

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. ALICIA DORETHEA GOODMANCredential: FNP-C

Location Address4300B W RAILROAD STGulfport, MS 39501-2568

Mailing Address3211 Rosewood DrHattiesburg, MS 39401-4517 · (601) 631-1810

Phone(228) 822-6722

Sole ProprietorNo

Enumeration DateOctober 9, 2024

NPPES CertifiedOctober 9, 2024

✔ NPI 1346069960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MS · 906660

4300B W RAILROAD ST, Gulfport, MS 39501

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Other Names 1

Former Name (1)Alicia Dorethea Wells

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.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)

Mrs. Alicia Dorethea Goodman Fnp-c 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.

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.

New Patient

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

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 17

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

JOSEPH D O'GORMAN D.O.

Internal Medicine (Nephrology)