DR. ALEXANDRA MARIE GOETJEN MD, PHD
NPI 1447954755
Student in an Organized Health Care Education/Training Program in Wilmington, NC

Q: What is Alexandra Goetjen's NPI number?

The NPI number for Alexandra Goetjen is 1447954755. It was assigned to this individual provider in the NPPES registry on March 29, 2023.

Q: What is Alexandra Goetjen's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Alexandra Goetjen was last updated on March 29, 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 March 29, 2023PECOS Enrolled

2131 S 17TH ST, WILMINGTON, NC 28401(910) 343-7000 Get Directions Write a Review

NPPES record last updated: March 29, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Alexandra Marie Goetjen Md, Phd NPPES

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

DR. ALEXANDRA MARIE GOETJEN MD, PHD (NPI 1447954755) is an individual student in an organized health care education/training program in Wilmington, North Carolina, licensed in North Carolina (GOETJEN1991) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447954755

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameDR. ALEXANDRA MARIE GOETJENCredential: MD, PHD

Location Address2131 S 17TH STWilmington, NC 28401-7407

Mailing Address2131 S 17th StWilmington, NC 28401-7407 · (910) 343-7000

Phone(910) 343-7000

Sole ProprietorNo

Enumeration DateMarch 29, 2023

NPPES CertifiedMarch 29, 2023

✔ NPI 1447954755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in NC · GOETJEN1991

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2131 S 17TH ST, Wilmington, NC 28401

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Alexandra Marie Goetjen Md, Phd 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.

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

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