MRS. KAREN J GOEHRING FNP-C
NPI 1689271272
Nurse Practitioner - Family in Grand Rapids, MI

Q: What is Karen Goehring's NPI number?

The NPI number for Karen Goehring is 1689271272. It was assigned to this individual provider in the NPPES registry on October 6, 2020.

Q: What is Karen Goehring'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 Karen Goehring was last updated on July 21, 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.

Active since October 06, 2020PECOS EnrolledAccepts Medicare Assignment

770 KENMOOR AVE SE, GRAND RAPIDS, MI 49546(616) 272-3533(616) 259-4839 Get Directions Write a Review

NPPES record last updated: July 21, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2023, Jan 18, 2022, Oct 6, 2020 (3 updates tracked since 2020).

On this page

About Mrs. Karen J Goehring Fnp-c NPPES

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

MRS. KAREN J GOEHRING FNP-C (NPI 1689271272) is an individual family provider in Grand Rapids, Michigan, licensed in Michigan (4704246005) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1689271272

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. KAREN J GOEHRINGCredential: FNP-C

Location Address770 KENMOOR AVE SEGrand Rapids, MI 49546-8621

Mailing Address801 Rosehill RdJackson, MI 49202-1762 · (517) 212-2008

Phone(616) 272-3533

Fax(616) 259-4839

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateOctober 6, 2020

Last NPPES UpdateJuly 21, 20233 updates tracked since enumeration

NPPES CertifiedJuly 21, 2023

✔ NPI 1689271272 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 MI · 4704246005

770 KENMOOR AVE SE, Grand Rapids, MI 49546

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Mrs. Karen J Goehring Fnp-c 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 ID6709291362

PECOS Enrollment IDI20210212002160

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

Medicare enrollment records show Karen Goehring reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Northview Health Specialists, PLLC

Same address

Family Medicine

770 KENMOOR AVE SE STE 100
Grand Rapids, MI 49546

Reassigned Medicare billing, Michigan enrollment
72 clinicians in this Medicare group

NPI 1629558978 (616) 272-3533

Careline Palliative Care LLC

76 mi

Hospice and Palliative Medicine

801 ROSEHILL RD
Jackson, MI 49202

Reassigned Medicare billing, Michigan enrollment
73 clinicians in this Medicare group

NPI 1801367073 (517) 212-2008

Northview Medical House Calls Plc

88 mi

Family Medicine

4760 FASHION SQUARE BLVD STE L-1
Saginaw, MI 48604

Reassigned Medicare billing, Michigan enrollment
82 clinicians in this Medicare group

NPI 1336447002 (517) 212-9000

Careconnectmd Michigan PC

129 mi

Geriatric Medicine

3200 GREENFIELD RD STE 300
Dearborn, MI 48120

Reassigned Medicare billing, Michigan enrollment
Medicare enrollment name: Careconnectmd Michigan P.C.
56 clinicians in this Medicare group

NPI 1477288348 (888) 789-9585

Provider Partners Care Management LP

524 mi

Nurse Practitioner

8820 COLUMBIA 100 PKWY STE 430
Columbia, MD 21045

Reassigned Medicare billing, Michigan enrollment
52 clinicians in this Medicare group

NPI 1013348028 (443) 275-9800

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 14

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

287 services77 patients

Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month 99489

Complex chronic care management is a service for patients with multiple chronic conditions. It involves an additional 60 minutes per month of clinical staff time directed by a healthcare professional. This service assists in managing your health conditions effectively.

249 services51 patients

Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month 99487

Complex chronic care management is a service for patients with two or more long-term health conditions. It involves a healthcare professional directing clinical staff in providing care for the first 60 minutes each month. This helps manage your health conditions effectively.

185 services58 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

160 services52 patients

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348

An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.

116 services47 patients

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350

An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.

86 services46 patients

Assessment of and care planning for patient with impaired thought processing, typically 60 minutes 99483

This service involves a thorough evaluation of your thought processes, which may be impacting your daily life. In a typical 50-minute session, a healthcare professional will assess your cognitive abilities, identify any areas of concern, and develop a personalized care plan to help improve your mental function.

42 services32 patients

Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes 99345

A new patient home visit is a comprehensive 75-minute appointment conducted at your home. The healthcare professional will assess your health, discuss any concerns, and create a personalized care plan. It's convenient, comfortable, and tailored to your specific needs.

35 services35 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

33 services30 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

28 services28 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

23 services17 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

19 services17 patients

Transitional care management services for problem of high complexity 99496

Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.

17 services13 patients

Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes 99347

An established patient home visit is a service where a healthcare professional visits your home for a 15-minute check-up. It's designed for patients who have previously seen the professional. The visit may include basic health assessments and discussions about your ongoing care.

13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230038

Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49546 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.

Other Providers at the Same Location NPPES 2

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

AMELIA EMILEE ALBACHTEN FNP-BC

Nurse Practitioner

770 KENMOOR AVE SE
GRAND RAPIDS, MI 49546

Kent County (616) 272-3533

ESTHER WADDILOVE L.M.S.W.

Social Worker (Clinical)

770 KENMOOR AVE SE, SUITE 202-A
GRAND RAPIDS, MI 49546

Kent County (616) 222-3090

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 Karen Goehring's NPI number?

The NPI number for Karen Goehring is 1689271272. It was assigned to this individual provider in the NPPES registry on October 6, 2020.

Where is Karen Goehring located?

Karen Goehring practices at 770 Kenmoor Ave SE, Grand Rapids, MI 49546. The listed phone number is (616) 272-3533.

What is Karen Goehring's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Karen Goehring enrolled in Medicare?

Yes. Karen Goehring 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 Karen Goehring's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karen Goehring reassigns Medicare benefits to 5 organizations: Northview Health Specialists, PLLC (Grand Rapids, MI), Careline Palliative Care LLC (Jackson, MI), Northview Medical House Calls Plc (Saginaw, MI), Careconnectmd Michigan PC (Dearborn, MI) and Provider Partners Care Management LP (Columbia, MD). 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 Karen Goehring's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karen Goehring accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Karen Goehring 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 Karen Goehring affiliated with any hospitals?

According to CMS data, Karen Goehring is affiliated with Spectrum Health.

When was this NPI record last updated?

The NPPES record for Karen Goehring was last updated on July 21, 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.