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Mary Lisa Goodman, NURSE PRACTITIONER

NPI 1265105803ActiveIndividual· Nurse Practitioner, Adult Health· New Port Richey, FL

Nurse Practitioner, Adult Health (NURSE PRACTITIONER) in New Port Richey, Florida, licensed in FL, with an NPI issued in July 2021. Their prescriptions cost Medicare Part D more than their services did: $288,395 for 3,153 claims, against $19,750 paid for services in 2024.

Overview

NPI1265105803
StatusActive
Entity typeIndividual
CredentialNURSE PRACTITIONER
Sole proprietorNo
NPI issuedJul 29, 2021
Last updated in NPPESJul 29, 2021
Certified by providerJul 29, 2021

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner, Adult Health Primary363LA2200X11014405FL

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Nurse Practitioner (FL)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients118
Services billed436 across 26 procedure codes
Paid by Medicare$19,750

Part D prescriptions in 2024

Prescriptions (claims)3,153 · 8,010 30-day fills
Patients349
Total drug cost$288,395
Generic share90% of claims

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other adult health nurse practitioners in New Port Richey

All 24 adult health nurse practitioners in New Port Richey · All adult health nurse practitioners in Florida