MARIA ELENA GODINES FNP
NPI 1750872438
Nurse Practitioner - Family in Racine, WI

Active since May 29, 2018PECOS EnrolledAccepts Medicare Assignment
82.39/100
CMS Quality Rating
1320 WISCONSIN AVE, RACINE, WI 53403(262) 687-5600 Get Directions Write a Review

NPPES record last updated: August 24, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Maria Elena Godines Fnp NPPES

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

MARIA ELENA GODINES FNP (NPI 1750872438) is an individual family provider in Racine, Wisconsin, licensed in Wisconsin (8637) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, is affiliated with Ascension All Saints Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1750872438
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARIA ELENA GODINESCredential: FNP
Location Address1320 WISCONSIN AVERacine, WI 53403
Mailing Address1320 Wisconsin AveRacine, WI 53403-1978 · (262) 687-5600
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 29, 2018
Last NPPES UpdateAugust 24, 2018
NPI 1750872438 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 WI · 8637
1320 WISCONSIN AVE, Racine, WI 53403

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 and accepts Medicare assignment

Maria Elena Godines Fnp 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 ID941550800
PECOS Enrollment IDI20180913003116
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.

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
99 services57 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
70 services43 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

Hospital Affiliations CMS Care Compare

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

Ascension All Saints Hospital

Acute Care Hospitals · Racine, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520096
Location3801 Spring StRacine, WI 53405 · Racine County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53403 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.88
Promoting Interoperability81
Improvement Activities40
Cost74.38

Other Providers at the Same Location NPPES 20

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

Counselor (Professional)
1320 WISCONSIN AVE
RACINE, WI 53403
Nurse Practitioner
1320 WISCONSIN AVE
RACINE, WI 53403
Occupational Therapy Assistant
1320 WISCONSIN AVE
RACINE, WI 53403
Social Worker
1320 WISCONSIN AVE
RACINE, WI 53403
Student in an Organized Health Care Education/Training Program
1320 WISCONSIN AVE
RACINE, WI 53403
Dietitian, Registered
1320 WISCONSIN AVE
RACINE, WI 53403
Psychiatric Hospital
1320 WISCONSIN AVE
RACINE, WI 53403
Counselor (Professional)
1320 WISCONSIN AVE
RACINE, WI 53403

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 Maria Godines's NPI number?

The NPI number for Maria Godines is 1750872438. It was assigned to this individual provider in the NPPES registry on May 29, 2018.

Where is Maria Godines located?

Maria Godines practices at 1320 Wisconsin Ave, Racine, WI 53403. The listed phone number is (262) 687-5600.

What is Maria Godines's specialty?

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

Is Maria Godines enrolled in Medicare?

Yes. Maria Godines 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.

What insurance does Maria Godines accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list Maria Godines 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 Maria Godines affiliated with any hospitals?

According to CMS data, Maria Godines is affiliated with Ascension All Saints Hospital.

When was this NPI record last updated?

The NPPES record for Maria Godines was last updated on August 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.