Mrs Krystal B Goodwin, APN in Collierville, TN

Mrs Krystal B Goodwin, APN is a medicare enrolled "Nurse Practitioner - Family" in Collierville, Tennessee. Her current practice location is 1985 Coors Creek Cv, Collierville, Tennessee. You can reach out to her office (for appointments etc.) via phone at (901) 361-2900.

Mrs Krystal B Goodwin is licensed to practice in Tennessee (license number 21953) 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 1093250318.

Contact Information

	Mrs Krystal B Goodwin, APN
	1985 Coors Creek Cv, Collierville, TN 38017-8893
	(901) 361-2900
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Krystal B Goodwin
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1985 Coors Creek Cv, Collierville, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093250318
Provider Enumeration Date: 12/21/2016
Last Update Date: 02/02/2026

Medicare PECOS Information:

PECOS PAC ID: 2769752351
Enrollment ID: I20170713002863

Medical Identifiers

Medical identifiers for Mrs Krystal B Goodwin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093250318	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	21953 (Tennessee)	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. Mrs Krystal B Goodwin allows following entities to bill medicare on her behalf.

Entity Name	Midsouth Independent Group Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861009326 PECOS PAC ID: 2668886722 Enrollment ID: O20210201001564

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. Mrs Krystal B 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 Address	Practice Location Address
Mrs Krystal B Goodwin, APN 1985 Coors Creek Cv, Collierville, TN 38017-8893 Ph: (901) 361-2900	Mrs Krystal B Goodwin, APN 1985 Coors Creek Cv, Collierville, TN 38017-8893 Ph: (901) 361-2900

Reviews and Comments

Nurse Practitioner Nurses in Collierville, TN

Amanda Wilson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 472 W Poplar Ave, 101, Collierville, TN 38017 Phone: 901-854-5771
Richard Albert Keenan Jr., FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1500 W Poplar Ave Ste 206, Collierville, TN 38017 Phone: 901-861-8484 Fax: 901-861-8489
Brandalon Marie Fly, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 240 New Byhalia Rd, Collierville, TN 38017 Phone: 901-492-4920
Allison Tolar Darnell, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1011 W Poplar Ave Ste 7, Collierville, TN 38017 Phone: 901-446-0226
Candace Harris, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1204 W Poplar Ave, Suite 102, Collierville, TN 38017 Phone: 901-610-3135
Heather Jones Boals, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 458 Old Oak Ln, Collierville, TN 38017 Phone: 901-275-0630

Mrs Krystal B Goodwin, APN - Medicare Nurse Practitioner in Collierville, TN