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MRS. JESSICA GOODWIN CRNP
NPI 1639613003
Nurse Practitioner in Johnstown, PA

Active since December 05, 2016PECOS Enrolled
1111 FRANKLIN ST, SUITE 130, JOHNSTOWN, PA 15905(814) 534-5724(814) 536-1786 Get Directions Write a Review

NPPES record last updated: October 20, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 20, 2021, Feb 9, 2017 (2 updates tracked since 2017).

About Mrs. Jessica Goodwin Crnp NPPES

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

MRS. JESSICA GOODWIN CRNP (NPI 1639613003) is an individual nurse practitioner in Johnstown, Pennsylvania, licensed in Pennsylvania (SP016926) and active in the NPI registry since December 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639613003
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. JESSICA GOODWINCredential: CRNP
Location Address1111 FRANKLIN ST, SUITE 130Johnstown, PA 15905-4330
Mailing Address1086 Franklin StJohnstown, PA 15905-4305 · (814) 410-8300 · Fax (814) 410-8331
Phone(814) 534-5724
Fax(814) 536-1786
Sole ProprietorNo
Enumeration DateDecember 5, 2016
Last NPPES UpdateOctober 20, 20212 updates tracked since enumeration
NPPES CertifiedOctober 20, 2021
✔ NPI 1639613003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in PA · SP016926
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1111 FRANKLIN ST, Johnstown, PA 15905
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Jessica Goodwin Crnp 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.

Medicare Billing Reassignment

Medicare enrollment records show Jessica Goodwin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dlp Conemaugh Physician Practices LLC
0.1 mi
Pediatrics
1086 FRANKLIN ST
Johnstown, PA 15905
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 771 clinicians in this Medicare group
NPI 1184025876 (814) 539-8725

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 2

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.

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.
26 services24 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15905 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

GERARD A GARGUILO MD
Surgery
1111 FRANKLIN ST, STE 030
JOHNSTOWN, PA 15905
Cambria County (814) 539-6797
CONEMAUGH HEALTH INITIATIVES
Durable Medical Equipment & Medical Supplies
1111 FRANKLIN ST, SUITE 300
JOHNSTOWN, PA 15905
Cambria County (814) 534-9230
PRODIGY DIALYSIS
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1111 FRANKLIN ST, SUITE 220
JOHNSTOWN, PA 15905
Cambria County (814) 539-0798
CONEMAUGH HEALTH INITIATIVES
Urology
1111 FRANKLIN ST, SUITE 410
JOHNSTOWN, PA 15905
Cambria County (814) 536-7851
DR. ROBERT FELIKS SAWICKI PHD
Clinical Neuropsychologist
1111 FRANKLIN ST, SUITE 130
JOHNSTOWN, PA 15905
Cambria County (814) 534-5724
CONEMAUGH HEALTH INITIATIVES
Neurological Surgery
1111 FRANKLIN ST, STE 130
JOHNSTOWN, PA 15905
Cambria County (814) 534-5700
PETER JAMES RIDELLA MD
Orthopaedic Surgery
1111 FRANKLIN ST, SUITE 140
JOHNSTOWN, PA 15905
Cambria County (814) 535-5554
LAUREL UROLOGY INC
Urology
1111 FRANKLIN ST, SUITE 410
JOHNSTOWN, PA 15905
Cambria County (814) 536-7851

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 Jessica Goodwin's NPI number?

The NPI number for Jessica Goodwin is 1639613003. It was assigned to this individual provider in the NPPES registry on December 5, 2016.

Where is Jessica Goodwin located?

Jessica Goodwin practices at 1111 Franklin St Suite 130, Johnstown, PA 15905. The listed phone number is (814) 534-5724.

What is Jessica Goodwin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Jessica Goodwin enrolled in Medicare?

Yes. Jessica Goodwin is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jessica Goodwin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Goodwin reassigns Medicare benefits to Dlp Conemaugh Physician Practices LLC (Johnstown, PA). The 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 Jessica Goodwin'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 Jessica Goodwin was last updated on October 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.