BENJAMIN ASHBY GOODRUM CNM, FNP
NPI 1861893414
Midwife in Berkeley, CA

Active since September 12, 2014PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
2450 ASHBY AVE, BERKELEY, CA 94705(510) 204-3977 Get Directions Write a Review

NPPES record last updated: May 6, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 6, 2025, Jul 24, 2023 (2 updates tracked since 2023).

About Benjamin Ashby Goodrum Cnm, Fnp NPPES

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

BENJAMIN ASHBY GOODRUM CNM, FNP (NPI 1861893414) is an individual midwife in Berkeley, California, licensed in California (CNM236316) and active in the NPI registry since September 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1861893414
Entity TypeIndividualMale
Primary Taxonomy176B00000X
Provider Legal NameBENJAMIN ASHBY GOODRUMCredential: CNM, FNP
Location Address2450 ASHBY AVEBerkeley, CA 94705-2067
Mailing AddressPo Box 276950Sacramento, CA 95827-6950
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 12, 2014
Last NPPES UpdateMay 6, 20252 updates tracked since enumeration
NPPES CertifiedMay 6, 2025
NPI 1861893414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyMidwifeOther Service Providers
Taxonomy Code176B00000X
License Licensed in CA · CNM236316
Definition
A Midwife is a trained professional with special expertise in supporting women to maintain a healthy pregnancy birth, offering expert individualized care, education, counseling, and support to a woman and her newborn throughout the childbearing cycle. A Midwife is a skilled and independent practitioner who has undergone formalized training. Midwives are not required to be nurses and may be trained via multiple routes of education (apprenticeship, workshop, formal classes, or programs, etc., usually a combination). The educational background requirements and licensing requirements vary by state. The Midwife may or may not be certified by a state or national organization.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 201406326NP-PP (OR)
Also ListedAdvanced Practice MidwifeTaxonomy 367A00000X · License F002184-01 (NY)
2450 ASHBY AVE, Berkeley, CA 94705

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

Benjamin Ashby Goodrum Cnm, 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 ID4981825361
PECOS Enrollment IDI20250612002399
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 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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.8
Promoting Interoperability100
Improvement Activities40

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.

Pathology (Anatomic Pathology & Clinical Pathology)
2450 ASHBY AVE
BERKELEY, CA 94705
Hospitalist
2450 ASHBY AVE
BERKELEY, CA 94705
General Acute Care Hospital
2450 ASHBY AVE
BERKELEY, CA 94705
Internal Medicine (Pulmonary Disease)
2450 ASHBY AVE
BERKELEY, CA 94705
Nurse Practitioner (Adult Health)
2450 ASHBY AVE
BERKELEY, CA 94705
Internal Medicine
2450 ASHBY AVE
BERKELEY, CA 94705
Emergency Medicine
2450 ASHBY AVE
BERKELEY, CA 94705
Registered Nurse (Lactation Consultant)
2450 ASHBY AVE
BERKELEY, CA 94705

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 Benjamin Ashby Goodrum's NPI number?

The NPI number for Benjamin Ashby Goodrum is 1861893414. It was assigned to this individual provider in the NPPES registry on September 12, 2014.

Where is Benjamin Ashby Goodrum located?

Benjamin Ashby Goodrum practices at 2450 Ashby Ave, Berkeley, CA 94705. The listed phone number is (510) 204-3977.

What is Benjamin Ashby Goodrum's specialty?

The primary specialty registered for this NPI is Midwife with taxonomy code 176B00000X.

Is Benjamin Ashby Goodrum enrolled in Medicare?

Yes. Benjamin Ashby 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.

When was this NPI record last updated?

The NPPES record for Benjamin Ashby Goodrum was last updated on May 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.