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Angela Marie Goodman

NPI 1639885924ActiveIndividual· Nurse Practitioner· Norton Shores, MI

Nurse Practitioner with Kristine Koetje Ma, PC, practicing in Norton Shores, Michigan. Part D covered 123 prescriptions written in 2024, 94% of them generic.

Overview

NPI1639885924
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedJan 30, 2023
Last updated in NPPESApr 1, 2025
Certified by providerApr 1, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner Primary363L00000X4704346943NSA2302DMI

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

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

Medicare

Enrollment (PECOS)Enrolled Practitioner - Nurse Practitioner (MI)

Part D prescriptions in 2024

Prescriptions (claims)123 · 138 30-day fills
Total drug cost$2,962
Generic share94% of claims

Medicare sources and data years

Education and affiliations

Graduation year2022
Medicare specialtyNurse Practitioner

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 Nurse Practitioner providers in Norton Shores

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