JEFFREY GOODSELL MD PLLC
NPI 1962202291
Family Medicine in Glastonbury, CT
About Jeffrey Goodsell Md Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEFFREY GOODSELL MD PLLC (NPI 1962202291), doing business as Fireside Primary Care, is a healthcare organization registered as a family medicine in Glastonbury, Connecticut and active in the NPI registry since March 2025. The organization lists Jeffrey Goodsell, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jeffrey Goodsell Md Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Jeffrey Goodsell MD PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Jeffrey Goodsell MD PLLC's NPI number?
The NPI number for Jeffrey Goodsell MD PLLC is 1962202291. It was assigned to this organization in the NPPES registry on March 17, 2025. The provider is doing business as Fireside Primary Care.
Where is Jeffrey Goodsell MD PLLC located?
Jeffrey Goodsell MD PLLC is located at 148 Oak St, Glastonbury, CT 06033. The listed phone number is (860) 351-7401.
What is Jeffrey Goodsell MD PLLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Jeffrey Goodsell MD PLLC enrolled in Medicare?
Yes. Jeffrey Goodsell MD PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Jeffrey Goodsell MD PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Jeffrey Goodsell MD PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Jeffrey Goodsell MD PLLC was last updated on August 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Jeffrey Goodsell Md Pllc · NPI 1962202291
Family Medicine organization in Glastonbury, Connecticut. Organization record, active in the CMS NPPES registry since March 17, 2025.
## Identity
- **NPI:** 1962202291 (Entity type: Organization)
- **Enumerated:** March 17, 2025
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Also known as:** Fireside Primary Care (Doing Business As)
- **Organization subpart:** Yes (part of Jeffrey Goodsell Md Pllc)
- **Authorized official:** Jeffrey Goodsell, OWNER
## Practice location
- **Address:** 148 OAK ST, Glastonbury, CT 06033-2318
- **Phone:** (860) 351-7401 · **Fax:** (833) 973-6047
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 13, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1962202291) · Data from the CMS NPPES public registry.