KRYSTAL GOUDREAU RN
NPI 1609301829
Nurse Practitioner - Family in Manistique, MI

Active since April 25, 2017PECOS EnrolledAccepts Medicare Assignment
113 N LAKE ST, MANISTIQUE, MI 49854(906) 450-1700 Get Directions Write a Review

NPPES record last updated: August 9, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 9, 2023, Apr 25, 2017 (2 updates tracked since 2017).

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

NPI1609301829
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKRYSTAL GOUDREAUCredential: RN
Location Address113 N LAKE STManistique, MI 49854-1234
Mailing Address113 N Lake StManistique, MI 49854-1234 · (906) 450-1700
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateApril 25, 2017
Last NPPES UpdateAugust 9, 20232 updates tracked since enumeration
NPPES CertifiedAugust 9, 2023
NPI 1609301829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MI · 4704260602
Also ListedRegistered NurseTaxonomy 163W00000X · License 4704260602 (MI)
113 N LAKE ST, Manistique, MI 49854

Accepted Insurance

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

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.

PECOS PAC ID6901346816
PECOS Enrollment IDI20240906000299
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.

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, MI
OwnershipGovernment - Local
CMS Certification Number231303
Location7870W Us Highway 2Manistique, MI 49854 · Schoolcraft County
Emergency services

Physician 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.

New Patient
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

What insurance does Krystal Goudreau accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health 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 with the weekly NPPES data releases published by CMS.