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

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: October 18, 2026.

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

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Justin Goucher reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Signify Health Medical Associates, PLLC
266 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Arkansas enrollment
  • 354 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.

MICHELE L GRIFFIN NP-C
Nurse Practitioner (Family)
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Washington County (641) 780-8696
MARTHA JO MCKINNEY APN
Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Washington County (479) 443-4301
KRISTIN SALMON PA-C
Physician Assistant
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Washington County (479) 443-4301
SAVANNAH HILL PA-C
Physician Assistant
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Washington County (479) 443-4301
MADISON MARIE-IVEY MCANALLY
Social Worker
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Washington County (479) 305-0271
DR. JOHN FRANK CUCHIA MD
Anesthesiology
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Washington County (479) 443-4301
FAYETTEVILLE VAMC
General Acute Care Hospital
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Washington County (615) 355-3451
DR. DIANA L SHIPMAN MD
Ophthalmology
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Washington County (479) 444-5093

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 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.

Where is Justin Goucher located?

Justin Goucher practices at 1100 N College Ave, Fayetteville, AR 72703. The listed phone number is (479) 443-4301.

What is Justin Goucher's specialty?

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

Is Justin Goucher enrolled in Medicare?

Yes. Justin Goucher is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Justin Goucher's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Goucher reassigns Medicare benefits to Signify Health Medical Associates, PLLC (Dallas, TX). The 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 Justin Goucher'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 Justin Goucher was last updated on April 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.