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STACIA LAROSE GODBOLDT CNM
NPI 1356040018
Advanced Practice Midwife in St Augustine, FL

Active since March 01, 2023PECOS EnrolledAccepts Medicare Assignment
300 HEALTH PARK BLVD STE 3002, ST AUGUSTINE, FL 32086(904) 819-1500 Get Directions Write a Review

NPPES record last updated: March 2, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stacia Larose Godboldt Cnm NPPES

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

STACIA LAROSE GODBOLDT CNM (NPI 1356040018) is an individual advanced practice midwife in St Augustine, Florida and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1356040018
Entity TypeIndividualFemale
Primary Taxonomy367A00000X
Provider Legal NameSTACIA LAROSE GODBOLDTCredential: CNM
Location Address300 HEALTH PARK BLVD STE 3002St Augustine, FL 32086-3703
Mailing Address184 Oak Shadow PlSaint Johns, FL 32259-7425 · (904) 652-7298
Phone(904) 819-1500
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 1, 2023
Last NPPES UpdateMarch 2, 2023
NPPES CertifiedMarch 2, 2023
✔ NPI 1356040018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367A00000X
Definition
Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.
300 HEALTH PARK BLVD STE 3002, St Augustine, FL 32086
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, AvMed and more.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

Stacia Larose Godboldt Cnm 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 ID3274998687
PECOS Enrollment IDI20230508000334
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 32086 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

Other Providers at the Same Location NPPES 10

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

SAMANTHA D REYNOLDS APRN
Nurse Practitioner (Family)
300 HEALTH PARK BLVD STE 3002
SAINT AUGUSTINE, FL 32086
St. Johns County (904) 819-1500
NATASHA PAYTON MD
Obstetrics & Gynecology
300 HEALTH PARK BLVD STE 3002
ST AUGUSTINE, FL 32086
St. Johns County (904) 819-1500
MRS. NAOMI LEIGH SULLIVAN CNM
Advanced Practice Midwife
300 HEALTH PARK BLVD STE 3002
ST AUGUSTINE, FL 32086
St. Johns County (904) 819-1500
FLORIDA WOMAN CARE, LLC
Obstetrics & Gynecology
300 HEALTH PARK BLVD STE 3002
ST AUGUSTINE, FL 32086
St. Johns County (904) 819-1500
SUSAN BOUCHARD CHAPPUIS ARNP-C
Nurse Practitioner (Women's Health)
300 HEALTH PARK BLVD STE 3002
ST AUGUSTINE, FL 32086
St. Johns County (904) 819-1500
RACHEL KAPLAN D.O.
Obstetrics & Gynecology
300 HEALTH PARK BLVD STE 3002
ST AUGUSTINE, FL 32086
St. Johns County (904) 819-1500
MAJDOULINE ASHER M.D.
Obstetrics & Gynecology
300 HEALTH PARK BLVD STE 3002
ST AUGUSTINE, FL 32086
St. Johns County (904) 819-1500
LINDSAY ANNE STUBBS CNM
Advanced Practice Midwife
300 HEALTH PARK BLVD STE 3002
ST AUGUSTINE, FL 32086
St. Johns County (904) 819-1500

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 Stacia Godboldt's NPI number?

The NPI number for Stacia Godboldt is 1356040018. It was assigned to this individual provider in the NPPES registry on March 1, 2023.

Where is Stacia Godboldt located?

Stacia Godboldt practices at 300 Health Park Blvd Ste 3002, St Augustine, FL 32086. The listed phone number is (904) 819-1500.

What is Stacia Godboldt's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Stacia Godboldt enrolled in Medicare?

Yes. Stacia Godboldt 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 Stacia Godboldt accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, AvMed, Molina Healthcare and UnitedHealthcare and 1 other insurer list Stacia Godboldt 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 Stacia Godboldt was last updated on March 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.