CASEY GONIWIECHA
NPI 1497620884
Nurse Practitioner - Family in Cottonwood, AZ

Q: What is Casey Goniwiecha's NPI number?

The NPI number for Casey Goniwiecha is 1497620884. It was assigned to this individual provider in the NPPES registry on October 7, 2025.

Q: What is Casey Goniwiecha'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 Casey Goniwiecha was last updated on October 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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 07, 2025PECOS EnrolledAccepts Medicare Assignment

340 S WILLARD ST, COTTONWOOD, AZ 86326(928) 634-5551 Get Directions Write a Review

NPPES record last updated: October 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Casey Goniwiecha NPPES

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

CASEY GONIWIECHA (NPI 1497620884) is an individual family provider in Cottonwood, Arizona, licensed in Arizona (330546) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1497620884

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameCASEY GONIWIECHA

Location Address340 S WILLARD STCottonwood, AZ 86326-4126

Mailing Address317 Laughing Hill DrClarkdale, AZ 86324-3389 · (586) 980-9785

Phone(928) 634-5551

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateOctober 7, 2025

Last NPPES UpdateOctober 22, 2025

NPPES CertifiedOctober 22, 2025

✔ NPI 1497620884 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 AZ · 330546

340 S WILLARD ST, Cottonwood, AZ 86326

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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 and accepts Medicare assignment

Casey Goniwiecha 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 ID6002306578

PECOS Enrollment IDI20251104003742

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 86326 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

MRS. KIM MARIE CARLTON PA-C

Physician Assistant (Medical)