Provider Profile

Kelly A. Godberson, NP

Unclaimed Profile

About Kelly Godberson

Listed in the NPI registry as a nurse practitioner, Kelly A. Godberson, NP practices in Medford, NY. According to Medicare claims data, Kelly cared for 2,590 Medicare patients across 8,562 services. The services billed most often include subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes, initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes, and subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more. NPI 1053833962 identifies this record in the national registry.

Factual summary compiled by Guide.md from public records; not written by this provider.

Education & Training

School Other Graduated: 2017

Specialty

Nurse Practitioner (Primary)

Credentials & Licensing

NY licenceAs reported to the NPI registry
No. 308240As reported
NPINational Provider Identifier
1053833962Issued 2017

As reported to the NPI registry ↗

Medicare information

Accepts Medicare assignmentSometimes (reported per claim)
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What does Kelly A. Godberson specialize in?

Kelly A. Godberson is a nurse practitioner in Medford, NY. That is the designation recorded for this NPI in the federal registry.

NPI registry

Where is Kelly A. Godberson located?

Kelly A. Godberson is listed at 3115 Horseblock Rd, Medford, NY 11763. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Kelly A. Godberson's phone number?

The number on file is (631) 730-3000. Contact the office directly to confirm availability and scheduling.

NPI registry

What is Kelly A. Godberson's NPI number?

Kelly A. Godberson's National Provider Identifier is 1053833962. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Kelly A. Godberson train?

Kelly A. Godberson attended Other, graduating in 2017. This comes from the CMS National Downloadable File.

CMS public data

How long has Kelly A. Godberson been practicing?

Kelly A. Godberson has 9 years experience. Calculated from a graduation year of 2017, reported in the CMS National Downloadable File.

CMS public data

What does Kelly A. Godberson do most often?

According to Medicare billing data, Kelly A. Godberson performs procedures including application of chemical to stop tissue regrowth in wound, removal of skin and tissue, 20.0 sq cm or less and replacement of stomach stoma tube, alongside routine visits and testing. This reflects Medicare patients only and is billing volume, not a measure of quality.

Medicare claims

Has Kelly A. Godberson confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Kelly A. Godberson. If this is you, claiming it is free.

Guide.md

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