AMBER GOODENOW
NPI 1972050151
Physician Assistant - Medical in Latrobe, PA

Active since September 06, 2016PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
108 HORNER LN, ONE CHILDREN'S HOSPITAL DRIVE, LATROBE, PA 15650(724) 537-2131 Get Directions Write a Review

NPPES record last updated: May 24, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 24, 2021, Aug 23, 2019 (2 updates tracked since 2019).

About Amber Goodenow NPPES

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

AMBER GOODENOW (NPI 1972050151) is an individual medical provider in Latrobe, Pennsylvania, licensed in Pennsylvania (TMA053110) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1972050151
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameAMBER GOODENOW
Location Address108 HORNER LN, ONE CHILDREN'S HOSPITAL DRIVELatrobe, PA 15650-5215
Mailing Address108 Horner Ln, One Children's Hospital DriveLatrobe, PA 15650-5215
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 6, 2016
Last NPPES UpdateMay 24, 20212 updates tracked since enumeration
NPI 1972050151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in PA · TMA053110
108 HORNER LN, Latrobe, PA 15650

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

Amber Goodenow 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 ID7012330509
PECOS Enrollment IDI20200630002200
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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

Other Providers at the Same Location NPPES 3

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

Physician Assistant
108 HORNER LN
LATROBE, PA 15650
Pediatrics
108 HORNER LN
LATROBE, PA 15650
Pediatrics
108 HORNER LN
LATROBE, PA 15650

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 Amber Goodenow's NPI number?

The NPI number for Amber Goodenow is 1972050151. It was assigned to this individual provider in the NPPES registry on September 6, 2016.

Where is Amber Goodenow located?

Amber Goodenow practices at 108 Horner Ln One Children's Hospital Drive, Latrobe, PA 15650. The listed phone number is (724) 537-2131.

What is Amber Goodenow's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Amber Goodenow enrolled in Medicare?

Yes. Amber Goodenow 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 Amber Goodenow was last updated on May 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.