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ANDREA FAITH GOODRUM FNP-C
NPI 1720799935
Nurse Practitioner - Family in Blacksburg, VA

Active since December 08, 2022PECOS EnrolledAccepts Medicare Assignment
901 PLANTATION RD STE 3, BLACKSBURG, VA 24060(540) 961-1058 Get Directions Write a Review

NPPES record last updated: July 4, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 4, 2024, Dec 16, 2022, Dec 8, 2022 (3 updates tracked since 2022).

About Andrea Faith Goodrum Fnp-c NPPES

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

ANDREA FAITH GOODRUM FNP-C (NPI 1720799935) is an individual family provider in Blacksburg, Virginia, licensed in Virginia (0024185992) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Christiansburg, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1720799935
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANDREA FAITH GOODRUMCredential: FNP-C
Location Address901 PLANTATION RD STE 3Blacksburg, VA 24060-3821
Mailing Address213 S Jefferson St Ste 1006Roanoke, VA 24011-1713 · (540) 224-5352
Phone(540) 961-1058
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateDecember 8, 2022
Last NPPES UpdateJuly 4, 20243 updates tracked since enumeration
NPPES CertifiedJuly 4, 2024
✔ NPI 1720799935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in VA · 0024185992
Also ListedNurse PractitionerTaxonomy 363L00000X · License 0024185992 (VA)
901 PLANTATION RD STE 3, Blacksburg, VA 24060
Open in Google Maps ↗

Secondary Practice Location 1

Location 1434 Peppers Fry Rd NWChristiansburg, VA 24073-5780 · Phone (540) 382-6000

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

Andrea Faith Goodrum 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 ID446622369
PECOS Enrollment IDI20230202000533
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

2

Medicare enrollment records show Andrea Goodrum reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Carilion Emergency Services, Inc.
28 mi
Urgent Care
1906 BELLEVIEW AVE SE, DEPT OF EMERGENCY MEDICINE
Roanoke, VA 24014
  • Reassigned Medicare billing, Virginia enrollment
  • 138 clinicians in this Medicare group
NPI 1255602694 (540) 266-6800
Carilion Healthcare Corporation
28 mi
Multi-Specialty
213 S JEFFERSON ST STE 1006
Roanoke, VA 24011
  • Reassigned Medicare billing, Virginia enrollment
  • 956 clinicians in this Medicare group
NPI 1447206370 (540) 224-5452

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 3

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.
98 services96 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
46 services46 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24060 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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

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

TANNER HURLEY
Obstetrics & Gynecology (Obstetrics)
901 PLANTATION RD STE 3
BLACKSBURG, VA 24060
Montgomery County (540) 961-1058

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 Andrea Goodrum's NPI number?

The NPI number for Andrea Goodrum is 1720799935. It was assigned to this individual provider in the NPPES registry on December 8, 2022.

Where is Andrea Goodrum located?

Andrea Goodrum practices at 901 Plantation Rd Ste 3, Blacksburg, VA 24060. The listed phone number is (540) 961-1058.

What is Andrea Goodrum's specialty?

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

Is Andrea Goodrum enrolled in Medicare?

Yes. Andrea Goodrum 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 Andrea Goodrum's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Goodrum reassigns Medicare benefits to 2 organizations: Carilion Emergency Services, Inc. (Roanoke, VA) and Carilion Healthcare Corporation (Roanoke, VA). 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 Andrea Goodrum'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 Andrea Goodrum was last updated on July 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.