JUSTIN GOUCHER APRN
NPI 1881356368
Nurse Practitioner - Primary Care in Fayetteville, AR

Q: What is Justin Goucher's NPI number?

The NPI number for Justin Goucher is 1881356368. It was assigned to this individual provider in the NPPES registry on October 12, 2021.

Q: What is Justin Goucher's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Justin Goucher was last updated on April 27, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 12, 2021PECOS Enrolled

1100 N COLLEGE AVE, FAYETTEVILLE, AR 72703(479) 443-4301 Get Directions Write a Review

NPPES record last updated: April 27, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 27, 2022, Dec 22, 2021, Oct 12, 2021 (3 updates tracked since 2021).

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About Justin Goucher Aprn NPPES

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

JUSTIN GOUCHER APRN (NPI 1881356368) is an individual primary care provider in Fayetteville, Arkansas, licensed in Arkansas (216579) and active in the NPI registry since October 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881356368

Entity TypeIndividualMale

Primary Taxonomy363LP2300X

Provider Legal NameJUSTIN GOUCHERCredential: APRN

Location Address1100 N COLLEGE AVEFayetteville, AR 72703-1944

Mailing Address9 Selland LnBella Vista, AR 72715-5568 · (870) 225-6219

Phone(479) 443-4301

Sole ProprietorYes

Enumeration DateOctober 12, 2021

Last NPPES UpdateApril 27, 20223 updates tracked since enumeration

NPPES CertifiedApril 27, 2022

✔ NPI 1881356368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

License✔ Licensed in AR · 216579

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 216579 (AR)

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 216579 (AR)

1100 N COLLEGE AVE, Fayetteville, AR 72703

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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)

Justin Goucher Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 72703 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

$79.72 typical visit price

range $51.36 – $157.74

Typical copayment $19.93 (range $12.84 – $39.43)

Most-billed visit code 99203

Established Patient

$91.63 typical visit price

range $16.16 – $128.77

Typical copayment $22.90 (range $4.04 – $32.19)

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.

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