NICOLE ELISE GOODWIN FNP-BC
NPI 1851973382
Nurse Practitioner - Primary Care in Flagstaff, AZ

Active since April 23, 2021PECOS EnrolledAccepts Medicare Assignment
2187 N VICKEY ST, FLAGSTAFF, AZ 86004(928) 527-1899(928) 447-5141 Get Directions Write a Review

NPPES record last updated: June 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 6, 2023, Apr 23, 2021 (2 updates tracked since 2021).

About Nicole Elise Goodwin Fnp-bc NPPES

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

NICOLE ELISE GOODWIN FNP-BC (NPI 1851973382) is an individual primary care provider in Flagstaff, Arizona, licensed in Arizona (250702) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Flagstaff, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1851973382
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameNICOLE ELISE GOODWINCredential: FNP-BC
Location Address2187 N VICKEY STFlagstaff, AZ 86004-6121
Mailing Address1521 N Pine Cliff DrFlagstaff, AZ 86001-3269 · (928) 440-2350
Fax(928) 447-5141
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateApril 23, 2021
Last NPPES UpdateJune 6, 20232 updates tracked since enumeration
NPPES CertifiedJune 6, 2023
NPI 1851973382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in AZ · 250702
2187 N VICKEY ST, Flagstaff, AZ 86004

Secondary Practice Location 1

Location 12695 E Industrial DrFlagstaff, AZ 86004-6109 · Phone (928) 527-0827 · Fax (928) 447-5141

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

Nicole Elise Goodwin Fnp-bc 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 ID2365832706
PECOS Enrollment IDI20220511002714
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 86004 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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 20

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

Psychiatry & Neurology (Psychiatry)
2187 N VICKEY ST
FLAGSTAFF, AZ 86004
Registered Nurse (Psychiatric/Mental Health)
2187 N VICKEY ST
FLAGSTAFF, AZ 86004
Nurse Practitioner (Psychiatric/Mental Health)
2187 N VICKEY ST
FLAGSTAFF, AZ 86004
Counselor (Addiction (Substance Use Disorder))
2187 N VICKEY ST
FLAGSTAFF, AZ 86004
Social Worker (Clinical)
2187 N VICKEY ST
FLAGSTAFF, AZ 86004
Social Worker
2187 N VICKEY ST
FLAGSTAFF, AZ 86004
Pharmacy (Long Term Care Pharmacy)
2187 N VICKEY ST
FLAGSTAFF, AZ 86004
Social Worker (Clinical)
2187 N VICKEY ST
FLAGSTAFF, AZ 86004

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 Nicole Goodwin's NPI number?

The NPI number for Nicole Goodwin is 1851973382. It was assigned to this individual provider in the NPPES registry on April 23, 2021.

Where is Nicole Goodwin located?

Nicole Goodwin practices at 2187 N Vickey St, Flagstaff, AZ 86004. The listed phone number is (928) 527-1899.

What is Nicole Goodwin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Nicole Goodwin enrolled in Medicare?

Yes. Nicole Goodwin 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 Nicole Goodwin accept?

Health plans from Ambetter from Arizona Complete Health and Blue Cross Blue Shield of Arizona list Nicole Goodwin 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 Nicole Goodwin was last updated on June 6, 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.