Jerri Goodman, CRNA
Nurse Anesthetist, Certified Registered in Anderson, IN. Individual provider (NPI-1).
NPI number1477535979
StatusActive
Last updated in NPPESOct 31, 2007
Details
- NPI
- 1477535979
- Entity type
- Individual (NPI-1)
- Name
- Jerri Goodman
- Credential
- CRNA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 18, 2005
- Last updated
- Oct 31, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 28120956 | IN | Yes |
Practice location
1515 N Madison AveAnderson, IN 46011-3453
Phone 317-802-6302
Mailing address
Po Box 68952Indianapolis, IN 46268-0952
Phone 317-802-6302 · Fax 317-870-0499
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 15 Certified Registered Nurse Anesthetist providers in Anderson · All 1,746 providers in Anderson
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