Theron Croft Goudeau, F.N.P.
NPI 1275928756ActiveIndividual· Nurse Practitioner· Walnut Creek, CA
Nurse Practitioner (F.N.P.) with One Medical Group Inc, practicing in Walnut Creek, California. Their prescriptions cost Medicare Part D more than their services did: $32,167 for 342 claims, against $11,608 paid for services in 2024. Lists John Muir Medical Center - Walnut Creek Campus as a hospital affiliation.
Overview
| NPI | 1275928756 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | F.N.P. |
| Sole proprietor | No |
| NPI issued | Apr 1, 2015 |
| Last updated in NPPES | Mar 17, 2025 |
| Certified by provider | Mar 17, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 95001788 | CA |
| Nurse Practitioner, Family | 363LF0000X | 814255 | CA |
| Nurse Practitioner, Family | 363LF0000X | NP95001788 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 62 |
|---|---|
| Services billed | 173 across 28 procedure codes |
| Paid by Medicare | $11,608 |
Part D prescriptions in 2024
| Prescriptions (claims) | 342 · 699 30-day fills |
|---|---|
| Patients | 50 |
| Total drug cost | $32,167 |
| Generic share | 90% of claims |
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- One Medical Group IncSan Jose, CA · 331 clinicians
Hospital affiliation
- John Muir Medical Center - Walnut Creek CampusWalnut Creek, CA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 74 nurse practitioners in Walnut Creek · All nurse practitioners in California