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GODDESS MINGO APRN, FNP-BC
NPI 1720488091
Nurse Practitioner in Parma, OH

Active since August 24, 2014PECOS Enrolled
6001 STATE RD, PARMA, OH 44134(440) 731-5887 Get Directions Write a Review

NPPES record last updated: January 12, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 12, 2026, Jun 6, 2019 (2 updates tracked since 2019).

About Goddess Mingo Aprn, Fnp-bc NPPES

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

GODDESS MINGO APRN, FNP-BC (NPI 1720488091) is an individual nurse practitioner in Parma, Ohio, licensed in Ohio (0040242) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1720488091
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameGODDESS MINGOCredential: APRN, FNP-BC
Location Address6001 STATE RDParma, OH 44134-2869
Mailing Address9462 Ackley RdParma Heights, OH 44130-2327 · (440) 731-5887
Phone(440) 731-5887
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateAugust 24, 2014
Last NPPES UpdateJanuary 12, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2026
✔ NPI 1720488091 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 OH · 0040242
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 ListedRegistered NurseTaxonomy 163W00000X · License 422797 (OH)
Also ListedLicensed Practical NurseTaxonomy 164W00000X · License 156494 (OH)
6001 STATE RD, Parma, OH 44134
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Goddess Mingo Aprn, Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1355823469
PECOS Enrollment IDI20260306000591
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44134 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $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 Goddess Mingo's NPI number?

The NPI number for Goddess Mingo is 1720488091. It was assigned to this individual provider in the NPPES registry on August 24, 2014.

Where is Goddess Mingo located?

Goddess Mingo practices at 6001 State Rd, Parma, OH 44134. The listed phone number is (440) 731-5887.

What is Goddess Mingo's specialty?

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

Is Goddess Mingo enrolled in Medicare?

Yes. Goddess Mingo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Goddess Mingo was last updated on January 12, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.