KRYSTAL GOUDREAU RN
NPI 1609301829
Nurse Practitioner - Family in Manistique, MI
About Krystal Goudreau Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KRYSTAL GOUDREAU RN (NPI 1609301829) is an individual family provider in Manistique, Michigan, licensed in Michigan (4704260602) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with Schoolcraft Memorial Hospital, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 2
Accepted 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
Krystal Goudreau Rn 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.
Medicare Billing Reassignments
6Medicare enrollment records show Krystal Goudreau reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sault Sainte Marie, MI 49783
- Reassigned Medicare billing, Michigan enrollment
- 11 clinicians in this Medicare group
Brighton, MI 48114
- Reassigned Medicare billing, Michigan enrollment
- 383 clinicians in this Medicare group
Novi, MI 48375
- Reassigned Medicare billing, Michigan enrollment
- 169 clinicians in this Medicare group
Dearborn Heights, MI 48125
- Reassigned Medicare billing, Michigan enrollment
- 15 clinicians in this Medicare group
Englewood, OH 45322
- Reassigned Medicare billing, Michigan enrollment
- 30 clinicians in this Medicare group
Dallas, TX 75244
- Reassigned Medicare billing, Michigan enrollment
- 666 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Schoolcraft Memorial Hospital
Critical Access Hospitals · Manistique, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49854 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Krystal Goudreau's NPI number?
The NPI number for Krystal Goudreau is 1609301829. It was assigned to this individual provider in the NPPES registry on April 25, 2017.
Where is Krystal Goudreau located?
Krystal Goudreau practices at 113 N Lake St, Manistique, MI 49854. The listed phone number is (906) 450-1700.
What is Krystal Goudreau's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Krystal Goudreau enrolled in Medicare?
Yes. Krystal Goudreau 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.
Which organizations bill Medicare for Krystal Goudreau's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Krystal Goudreau reassigns Medicare benefits to 6 organizations: Sault Tribe Of Chippewa Indians (Sault Sainte Marie, MI), Theoria Medical (Brighton, MI), Complexcare Medical Group Midwest H PLLC (Novi, MI), Longevity Accountable Care, PA (Dearborn Heights, MI), Total Extended Care Services PC (Englewood, OH) and 1 more organization, listed in the Medicare section above. 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 Krystal Goudreau's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Krystal Goudreau accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health and UnitedHealthcare list Krystal Goudreau 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.
Is Krystal Goudreau affiliated with any hospitals?
According to CMS data, Krystal Goudreau is affiliated with Schoolcraft Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Krystal Goudreau was last updated on August 9, 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.
# Krystal Goudreau, RN · NPI 1609301829
Family physician in Manistique, Michigan. Individual provider, active in the CMS NPPES registry since April 25, 2017.
## Identity
- **NPI:** 1609301829 (Entity type: Individual)
- **Enumerated:** April 25, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 4704260602 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 113 N LAKE ST, Manistique, MI 49854-1234
- **Phone:** (906) 450-1700
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Sault Tribe Of Chippewa Indians (NPI 1205004884, Sault Sainte Marie, MI); Theoria Medical (NPI 1164186946, Brighton, MI); Complexcare Medical Group Midwest H PLLC (NPI 1457144933, Novi, MI); Longevity Accountable Care, PA (NPI 1396584447, Dearborn Heights, MI); Total Extended Care Services PC (NPI 1699522029, Englewood, OH); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** August 9, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1609301829) · Data from the CMS NPPES public registry.