Kelly Ledoux Godwin, PA-C
NPI 1285136093ActiveIndividual· Physician Assistant· Appleton, WI
Physician Assistant (PA-C) with Fayetteville Area Health Education Foundation Inc, practicing in Appleton, Wisconsin. Their prescriptions cost Medicare Part D more than their services did: $130,200 for 1,304 claims, against $14,766 paid for services in 2024.
Overview
| NPI | 1285136093 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Mar 7, 2018 |
| Last updated in NPPES | Oct 3, 2025 |
| Certified by provider | Oct 3, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 8503 | WI |
| Physician Assistant | 363A00000X | 0010-07941 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (NC); Practitioner - Physician Assistant (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 83 |
|---|---|
| Services billed | 571 across 37 procedure codes |
| Paid by Medicare | $14,766 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,304 · 2,730 30-day fills |
|---|---|
| Patients | 143 |
| Total drug cost | $130,200 |
| Generic share | 88% of claims |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Fayetteville Area Health Education Foundation IncFayetteville, NC · 29 clinicians
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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