JASON GOODMAN AGACNP
NPI 1407308075
Nurse Practitioner - Acute Care in Dallas, TX

Q: What is Jason Goodman's NPI number?

The NPI number for Jason Goodman is 1407308075. It was assigned to this individual provider in the NPPES registry on October 31, 2016.

Q: What is Jason Goodman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Jason Goodman was last updated on September 5, 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.

Active since October 31, 2016PECOS EnrolledAccepts Medicare Assignment

221 W COLORADO BLVD STE 525, DALLAS, TX 75208(214) 960-5681(214) 960-5681 Get Directions Write a Review

NPPES record last updated: September 5, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 5, 2023, Oct 31, 2016 (2 updates tracked since 2016).

On this page

About Jason Goodman Agacnp NPPES

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

JASON GOODMAN AGACNP (NPI 1407308075) is an individual acute care provider in Dallas, Texas, licensed in Texas (AP132469) and active in the NPI registry since October 2016. He is enrolled in Medicare PECOS, is affiliated with Medical City Plano, and maintains a secondary practice location in Dallas.

NPPES Registry Identity

NPI1407308075

Entity TypeIndividualMale

Primary Taxonomy363LA2100X

Provider Legal NameJASON GOODMANCredential: AGACNP

Location Address221 W COLORADO BLVD STE 525Dallas, TX 75208-2312

Mailing Address2710 Swiss AveDallas, TX 75204-5900

Phone(214) 960-5681

Fax(214) 960-5681

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateOctober 31, 2016

Last NPPES UpdateSeptember 5, 20232 updates tracked since enumeration

NPPES CertifiedSeptember 5, 2023

✔ NPI 1407308075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in TX · AP132469

221 W COLORADO BLVD STE 525, Dallas, TX 75208

Open in Google Maps ↗

Secondary Practice Location 1

Location 13500 Gaston AveDallas, TX 75246-2017 · Phone (214) 821-1599

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jason Goodman Agacnp 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 ID3870870686

PECOS Enrollment IDI20170504001001

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.

Medicare Billing Reassignments

Medicare enrollment records show Jason Goodman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dallas Pulmonary & Critical Care PA

Same address

Critical Care Medicine

221 W COLORADO BLVD STE 525
Dallas, TX 75208

Reassigned Medicare billing, Texas enrollment
254 clinicians in this Medicare group

NPI 1235402728 (214) 960-5681

North Texas Critical Care PA

2.9 mi

Critical Care Medicine

2710 SWISS AVE
Dallas, TX 75204

Reassigned Medicare billing, Texas enrollment
124 clinicians in this Medicare group

NPI 1265863542 (214) 821-1599

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Medical City Plano

Acute Care Hospitals · Plano, TX

3/5 CMS rating

OwnershipProprietary

CMS Certification Number450651

Location3901 W 15th StPlano, TX 75075 · Collin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75208 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

$88.19 typical visit price

range $57.18 – $172.86

Typical copayment $22.04 (range $14.29 – $43.21)

Most-billed visit code 99203

Established Patient

$100.80 typical visit price

range $18.48 – $141.20

Typical copayment $25.20 (range $4.62 – $35.30)

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 20

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

JACQUELINE NICOLE HORST M.D.

Internal Medicine (Pulmonary Disease)