Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TANIA GODBOUT APRN-CNP
NPI 1417579954
Nurse Practitioner - Family in Londonderry, NH

Active since May 07, 2020PECOS Enrolled
50 MICHELS WAY, LONDONDERRY, NH 03053(603) 537-1300(603) 537-1327 Get Directions Write a Review

NPPES record last updated: October 19, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jun 17, 2025, May 7, 2020 (2 updates tracked since 2020).

About Tania Godbout Aprn-cnp NPPES

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

TANIA GODBOUT APRN-CNP (NPI 1417579954) is an individual family provider in Londonderry, New Hampshire, licensed in New Hampshire (115882-23) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1417579954
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTANIA GODBOUTCredential: APRN-CNP
Location Address50 MICHELS WAYLondonderry, NH 03053-3499
Mailing Address14b Tsienneto RdDerry, NH 03038-1560 · (603) 537-1300 · Fax (603) 537-1355
Fax(603) 537-1327
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateMay 7, 2020
Last NPPES UpdateOctober 19, 20262 updates tracked since enumeration
NPPES CertifiedOctober 19, 2026
✔ NPI 1417579954 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 NH · 115882-23
50 MICHELS WAY, Londonderry, NH 03053

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tania Godbout Aprn-cnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3577985688
PECOS Enrollment IDI20220210002384, I20251103000426
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

4

Medicare enrollment records show Tania Godbout reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urgent Care
345 MAIN ST
Tewksbury, MA 01876
  • Reassigned Medicare billing, Massachusetts enrollment
  • Medicare enrollment name: Carewell Urgent Care Centers Of Ma, PC
  • 29 clinicians in this Medicare group
Urgent Care
380 JOHN FITCH HWY
Fitchburg, MA 01420
  • Reassigned Medicare billing, Massachusetts enrollment
  • 14 clinicians in this Medicare group
Urgent Care
776 WESTERN AVE
Lynn, MA 01905
  • Reassigned Medicare billing, Massachusetts enrollment
  • 11 clinicians in this Medicare group
Urgent Care
798 ROUTE 302
Berlin, VT 05641
  • Reassigned Medicare billing, New Hampshire enrollment
  • 52 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.

Areas of Expertise CMS Part B claims 6

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
23 services23 patients
Detection test by immunoassay technique for influenza virus 87400
An immunoassay test for influenza virus is a procedure that identifies the presence of the flu virus in your body. It uses your body's immune response to detect specific proteins (antigens) associated with the virus. This helps in early and accurate diagnosis of influenza.
22 services11 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
15 services15 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
15 services15 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
15 services15 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03053 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
$89.14 typical visit price
range $57.75 – $174.26
Typical copayment $22.28 (range $14.43 – $43.56)
Most-billed visit code 99203
Established Patient
$101.54 typical visit price
range $18.70 – $142.15
Typical copayment $25.38 (range $4.67 – $35.53)
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 4

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

Family Medicine
50 MICHELS WAY
LONDONDERRY, NH 03053
Clinic/Center (Magnetic Resonance Imaging (MRI))
50 MICHELS WAY
LONDONDERRY, NH 03053
Physical Therapist
50 MICHELS WAY, STE 201
LONDONDERRY, NH 03053
Internal Medicine (Gastroenterology)
50 MICHELS WAY
LONDONDERRY, NH 03053

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 Tania Godbout's NPI number?

The NPI number for Tania Godbout is 1417579954. It was assigned to this individual provider in the NPPES registry on May 7, 2020.

Where is Tania Godbout located?

Tania Godbout practices at 50 Michels Way, Londonderry, NH 03053. The listed phone number is (603) 537-1300.

What is Tania Godbout's specialty?

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

Is Tania Godbout enrolled in Medicare?

Yes. Tania Godbout is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Tania Godbout's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tania Godbout reassigns Medicare benefits to 4 organizations: Carewell Urgent Care Centers Of Ma, P.C (Tewksbury, MA), Urgent Care Centers Of Central Massachusetts, LLC (Fitchburg, MA), Lynn Urgent Care LLC (Lynn, MA) and Clearchoicemd, PLLC (Berlin, VT). 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 Tania Godbout's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tania Godbout was last updated on October 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.