Individual provider

Kelly Goodwin, APRN

Adult Health Nurse Practitioner Nurse Practitioner Medicare enrolled

Kelly Goodwin, APRN is an Adult Health Nurse Practitioner in Boston, MA, registered under NPI 1093006884. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 55 FRUIT ST MASSACHUSETTS GENERAL HOSPITAL, YAWKEY 7B, Boston, MA 02114. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

55 FRUIT ST MASSACHUSETTS GENERAL HOSPITAL, YAWKEY 7B, Boston, MA 02114 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
RN2269436 MA Adult Health Nurse Practitioner primary
004713 CT Nurse Practitioner

Licences are recorded in 2 states: MA, CT. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Nurse Practitioner
PAC ID
4385814441
Enrollment ID
I20130402000273

Medicare enrolment is recorded as approved under the provider type Practitioner - Nurse Practitioner. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: Connecticut and Massachusetts. The practice address on file is in Boston, MA, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

CT Connecticut
Licence
004713
Specialty
Nurse Practitioner
Verify with the CT board →
MA Massachusetts practice address
Licence
RN2269436
Specialty
Adult Health Nurse Practitioner
Verify with the MA board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Adult Health covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363LA2200X
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Adult Health

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
363LA2200X Adult Health Nurse Practitioner Adult Health RN2269436 MA primary
363L00000X Nurse Practitioner 004713 CT

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1093006884 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateApr 27, 2011
Last updatedJan 10, 2013
StatusActive
Sole proprietorNo
CredentialAPRN
Practice address 55 FRUIT ST
MASSACHUSETTS GENERAL HOSPITAL, YAWKEY 7B
Boston, MA 02114
(617) 724-4000
Fax (617) 643-0678
This record was last updated on Jan 10, 2013, roughly 13 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1093006884 passes the NPI check digit test The final digit 4 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 9 3 0 0 6 8 8
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 0 9 3 0 0 3 8 7

Sum = 56 · next multiple of 10 = 60 · check digit = 4 · actual last digit = 4

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1093006884?
NPI 1093006884 is the National Provider Identifier assigned to Kelly Goodwin, APRN in Boston, MA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Adult Health cover?
Definition to come...
How do I contact Kelly Goodwin, APRN?
The phone number on file with NPPES is (617) 724-4000, last updated Jan 10, 2013. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Kelly Goodwin, APRN accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1093006884 a valid number?
Yes. 1093006884 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.