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Jesse Goodman, AGNP

NPI 1609248202ActiveIndividual· Nurse Practitioner, Psych/Mental Health· Irvine, CA

Nurse Practitioner, Psych/Mental Health (AGNP) with Jason Kellogg MD Inc, practicing in Irvine, California. Their prescriptions cost Medicare Part D more than their services did: $33,477 for 862 claims, against $20,283 paid for services in 2024.

Overview

NPI1609248202
StatusActive
Entity typeIndividual
CredentialAGNP
Sole proprietorNo
NPI issuedOct 22, 2015
Last updated in NPPESMay 6, 2020
Certified by providerMay 6, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner, Psych/Mental Health Primary363LP0808X95003286CA

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 (CA); Practitioner - Nurse Practitioner (ID); Practitioner - Nurse Practitioner (UT)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients156
Services billed314 across 8 procedure codes
Paid by Medicare$20,283

Part D prescriptions in 2024

Prescriptions (claims)862 · 884 30-day fills
Patients59
Total drug cost$33,477
Generic share98% of claims

Medicare sources and data years

Education and affiliations

Graduation year2015
Medicare specialtyNurse Practitioner
TelehealthOffers telehealth

Medical group

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

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

Other psychiatric nurse practitioners in Irvine

All 97 psychiatric nurse practitioners in Irvine · All psychiatric nurse practitioners in California