DR. SENAYET GOITOM DNP
NPI 1679387054
Nurse Practitioner in Excelsior, MN

Active since February 05, 2025PECOS EnrolledAccepts Medicare Assignment
464 2ND ST STE 204, EXCELSIOR, MN 55331(612) 787-8408(612) 567-8935 Get Directions Write a Review

NPPES record last updated: April 27, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Senayet Goitom Dnp NPPES

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

DR. SENAYET GOITOM DNP (NPI 1679387054) is an individual nurse practitioner in Excelsior, Minnesota, licensed in Minnesota (12484) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Nashville, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1679387054
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameDR. SENAYET GOITOMCredential: DNP
Location Address464 2ND ST STE 204Excelsior, MN 55331-2015
Mailing Address8745 Davenport St NeBlaine, MN 55449-4229 · (612) 499-2098
Fax(612) 567-8935
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateFebruary 5, 2025
Last NPPES UpdateApril 27, 2025
NPPES CertifiedApril 27, 2025
✔ NPI 1679387054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MN · 12484
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.
Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X · License 12484 (MN)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 12484 (MN)
464 2ND ST STE 204, Excelsior, MN 55331

Secondary Practice Location 1

Location 1424 Church St Ste 2600Nashville, TN 37219-2379 · Phone (480) 932-2741

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

Dr. Senayet Goitom Dnp 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 ID2062936982
PECOS Enrollment IDI20250411002093
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 Reassignments

3

Medicare enrollment records show Senayet Goitom reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physical Medicine & Rehabilitation
464 2ND ST STE 204
Excelsior, MN 55331
  • Reassigned Medicare billing, Minnesota enrollment
  • 13 clinicians in this Medicare group
General Practice
433 COUNTY ROAD 30 SE
Delano, MN 55328
  • Reassigned Medicare billing, Minnesota enrollment
  • 43 clinicians in this Medicare group
Nurse Practitioner
424 CHURCH ST STE 2600
Nashville, TN 37219
  • Reassigned Medicare billing, Minnesota enrollment
  • 126 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55331 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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 9

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

Physical Medicine & Rehabilitation
464 2ND ST STE 204
EXCELSIOR, MN 55331
Nurse Practitioner
464 2ND ST STE 204
EXCELSIOR, MN 55331
Nurse Practitioner (Gerontology)
464 2ND ST STE 204
EXCELSIOR, MN 55331
Nurse Practitioner (Gerontology)
464 2ND ST STE 204
EXCELSIOR, MN 55331
Nurse Practitioner (Gerontology)
464 2ND ST STE 204
EXCELSIOR, MN 55331
Nurse Practitioner (Family)
464 2ND ST STE 204
EXCELSIOR, MN 55331
Nurse Practitioner (Family)
464 2ND ST STE 204
EXCELSIOR, MN 55331
Nurse Practitioner (Family)
464 2ND ST STE 204
EXCELSIOR, MN 55331

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 Senayet Goitom's NPI number?

The NPI number for Senayet Goitom is 1679387054. It was assigned to this individual provider in the NPPES registry on February 5, 2025.

Where is Senayet Goitom located?

Senayet Goitom practices at 464 2nd St Ste 204, Excelsior, MN 55331. The listed phone number is (612) 787-8408.

What is Senayet Goitom's specialty?

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

Is Senayet Goitom enrolled in Medicare?

Yes. Senayet Goitom 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 Senayet Goitom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Senayet Goitom reassigns Medicare benefits to 3 organizations: Rehabilitation Medicine Associates, LLC (Excelsior, MN), Integrated Wound Care Minnesota PLLC (Delano, MN) and Matrix Medical Plus (Nashville, TN). 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 Senayet Goitom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Senayet Goitom accept?

Health plans from Medica list Senayet Goitom 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.

When was this NPI record last updated?

The NPPES record for Senayet Goitom was last updated on April 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.