Kassandra Nicole Goodwin, APRN - Medicare Nurse Practitioner in Danville, IL

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Kassandra Nicole Goodwin, APRN is a medicare enrolled "Nurse Practitioner - Family" in Danville, Illinois. Her current practice location is 707 N Logan Ave, Danville, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 477-4770.

Kassandra Nicole Goodwin is licensed to practice in Illinois (license number 209.031712) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1003612300.

Contact Information

Kassandra Nicole Goodwin, APRN
707 N Logan Ave,
Danville, IL 61832-4360
(217) 477-4770
Not Available

Map and Direction




Provider's Profile

Full NameKassandra Nicole Goodwin
GenderFemale
SpecialityNurse Practitioner - Family
Location707 N Logan Ave, Danville, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003612300
  • Provider Enumeration Date: 02/19/2025
  • Last Update Date: 02/23/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 1153845367
  • Enrollment ID: I20250409002800

Medical Identifiers

Medical identifiers for Kassandra Nicole Goodwin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003612300NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 209.031712 (Illinois)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kassandra Nicole Goodwin allows following entities to bill medicare on her behalf.
Entity NameOsf Multi-specialty Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922445527
PECOS PAC ID: 3678889789
Enrollment ID: O20150904000279

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kassandra Nicole Goodwin is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kassandra Nicole Goodwin, APRN
707 N Logan Ave,
Danville, IL 61832-4360

Ph: (217) 477-4770		Kassandra Nicole Goodwin, APRN
707 N Logan Ave,
Danville, IL 61832-4360

Ph: (217) 477-4770

Reviews and Comments


Nurse Practitioner Nurses in Danville, IL

Kara Kaye Sharpf, RN, MSN, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 707 N Logan Ave, Danville, IL 61832
Phone: 217-477-4770    Fax: 217-444-4977
Jennifer Lynn Laubscher, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 516 W Madison St, Danville, IL 61832
Phone: 217-431-7888    Fax: 217-431-7634
Mrs. Anasooyadevi Vijay, NP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1900 E Main Street, Danville, IL 61832
Phone: 217-554-3000    
Mrs. Jessica Scot Gay, MSN, APRN, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3545 N Vermilion St, Danville, IL 61832
Phone: 217-651-6801    
Randi M Morgan, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 812 N Logan Ave, Danville, IL 61832
Phone: 217-443-5000    Fax: 217-443-1965
Mrs. Susan E. Jordan, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 707 N Logan Avenue, Danville Polyclinic, Ltd., Danville, IL 61832
Phone: 217-477-4720    Fax: 217-477-4758

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.