MARK A GOFORTH NURSE PRACTITIONER
NPI 1699198747
Nurse Practitioner - Psychiatric/Mental Health in Vail, AZ
About Mark A Goforth Nurse Practitioner NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARK A GOFORTH NURSE PRACTITIONER (NPI 1699198747) is an individual psychiatric/mental health provider in Vail, Arizona, licensed in Arizona (AP4993) and active in the NPI registry since January 2014. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 (PECOS)
Mark A Goforth Nurse Practitioner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 85641 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 Mark Goforth's NPI number?
The NPI number for Mark Goforth is 1699198747. It was assigned to this individual provider in the NPPES registry on January 27, 2014. The provider is also known as Mark A Goforth Np.
Where is Mark Goforth located?
Mark Goforth practices at 14029 E Camino Galante, Vail, AZ 85641. The listed phone number is (520) 904-7987.
What is Mark Goforth's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Mark Goforth enrolled in Medicare?
Yes. Mark Goforth is registered in the Medicare PECOS enrollment system.
What insurance does Mark Goforth accept?
Health plans from Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona and UnitedHealthcare list Mark Goforth 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 Mark Goforth was last updated on August 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Mark A Goforth, NURSE PRACTITIONER · NPI 1699198747
Psychiatric/Mental Health physician in Vail, Arizona. Individual provider, active in the CMS NPPES registry since January 27, 2014.
## Identity
- **NPI:** 1699198747 (Entity type: Individual)
- **Enumerated:** January 27, 2014
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** AP4993 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 14029 E CAMINO GALANTE, Vail, AZ 85641-2067
- **Phone:** (520) 904-7987
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** August 26, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1699198747) · Data from the CMS NPPES public registry.