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Danielle Godwin , PA-C

Physician Assistant β€’ Grand Rapids, MI

Active NPI 1164063509 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

3225 N Evergreen Dr Ne
Grand Rapids, MI 495259334

Call 6163641500 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3225 N Evergreen Dr Ne

Grand Rapids, MI 495259334

Telephone 6163641500
Organization at the Same NPPES Address or Phone
Pine Rest Christian Mental Health Services Facility NPI 1891703252

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Caledonia, MI; Grand Rapids, MI. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: Pine Rest Christian Mental Health Services. See the list

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026

Graduation Year

2019

30-day fills

270 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$2,412 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Open Payments general payments, program year 2025

All general payments: $37.59 across 2 records.

By nature of payment

  • Food and Beverage: $37.59 across 2 records.

Reporting-company totals

  • Supernus Pharmaceuticals, Inc.: $19.80 across 1 record.
  • Medtronic, Inc.: $17.79 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

7 years (graduated 2019)

CMS Doctors and Clinicians data list 2019 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Danielle Godwin has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Danielle Godwin as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Grand Rapids and Michigan

Billing and prescribing volume is not a quality rating.

Medicare Part D prescriptions

Close to the middle for clinicians listed under Physician Assistant in Grand Rapids, MI (2024, 458 clinicians with data). Median for this group: 249. Middle half: 78 to 846.

Fewer Part D prescriptions than 60% of clinicians listed under Physician Assistant in Michigan (2024, 3,756 clinicians with data). Median for this group: 301. Middle half: 83 to 1,058.

Part D drug cost

Close to the middle for clinicians listed under Physician Assistant in Grand Rapids, MI (2024, 458 clinicians with data). Median for this group: $6,395. Middle half: $739 to $86,811.

Close to the middle for clinicians listed under Physician Assistant in Michigan (2024, 3,756 clinicians with data). Median for this group: $6,017. Middle half: $670 to $116,880.

931 active clinicians are listed under Physician Assistant with a practice address in Grand Rapids, MI (7,169 in Michigan).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Grand Rapids

18.2% of these 931 clinicians have the CMS telehealth indicator.

70.6% of these 931 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2025

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $37.59.

Manufacturer Payment Nature Product Type Amount ($)
Supernus Pharmaceuticals, Inc.
Food and Beverage
In-kind items and services
Qelbree General $19.80
Medtronic, Inc.
Food and Beverage
In-kind items and services
VENASEAL General $17.79

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D Β· Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Duloxetine Hcl Duloxetine Hcl 31 1,589 $497.30 β€”
Escitalopram Oxalate Escitalopram Oxalate 21 869 $175.63 β€”
Buspirone Hcl Buspirone Hcl 17 870 $266.79 β€”
Sertraline Hcl Sertraline Hcl 15 904 $310.11 β€”
Hydroxyzine Hcl Hydroxyzine Hcl 15 490 $172.74 β€”
Bupropion Xl Bupropion Hcl 14 720 $315.84 β€”
Olanzapine Olanzapine 13 750 $191.04 β€”
Clonazepam Clonazepam 12 385 $65.73 β€”
Risperidone Risperidone 12 660 $67.40 β€”
Haloperidol Haloperidol 12 675 $349.80 β€”

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-11-06
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES MI 5601009494

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Michigan Department of Licensing and Regulatory Affairs.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20191115001357

Enrollment State Jurisdiction

MI

PECOS Control ID

8729410584

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026

Pine Rest Christian Mental Health Services

300 68th St Se, Grand Rapids, MI 495486927

Pine Rest Christian Mental Health Services

300 68th St Se, Grand Rapids, MI 495486927

Phone: 6164555000

Pine Rest Christian Mental Health Services

300 Se 68th St, Grand Rapids, MI 495486927

Phone: 6164555000

Pine Rest Christian Mental Health Services

3225 N Evergreen Dr, Grand Rapids, MI 495259334

Phone: 6163641500

Pine Rest Christian Mental Health Services

3225 N Evergreen Dr Ne, Grand Rapids, MI 495259334

Phone: 6163641500

Secondary Practice Locations

6505 Cherry Meadow Dr Se

Caledonia, MI 493169484

Phone: 6168918770

300 68th St Se

Grand Rapids, MI 495486927

Phone: 6164555270

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

7 listed
Dr. Kenya Alexander , MD

Psychiatry & Neurology - Psychiatry

NPI 1548399108

Doctor of Medicine (M.D.)

Dr. Bradley Demijohn , MD

Psychiatry & Neurology - Neurology

NPI 1972066983

Doctor of Medicine (M.D.)

Joshua Godfrey , LMSW

Social Worker - Clinical

NPI 1023429198

Licensed Master Social Worker

Dr. Kaitlyn Hounshell , MD

Psychiatry & Neurology - Psychiatry

NPI 1467949685

Doctor of Medicine (M.D.)

Dr. Katherine Jawor , DO

Psychiatry & Neurology - Psychiatry

NPI 1336188556

Doctor of Osteopathic Medicine (D.O.)

Dr. Katerina Katsoulis , MD

Psychiatry & Neurology - Psychiatry

NPI 1518524966

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

13 Historical Events
πŸ“
Updated Practice Location November 06, 2024

Registered at 3225 N EVERGREEN DR NE, GRAND RAPIDS, MI 495259334 (Tel: 6163641500)

🏒
Secondary Practice Location Registered November 06, 2024

Additional practice office at 6505 Cherry Meadow Dr SE, Caledonia, MI 493169484

🏒
Secondary Practice Location Registered November 06, 2024

Additional practice office at 300 68th St SE, Grand Rapids, MI 495486927

πŸ“
Updated Practice Location August 08, 2023

Registered at 300 68TH ST SE, GRAND RAPIDS, MI 495486927 (Tel: 6164555000)

πŸ“
Updated Business Mailing Address August 08, 2023

Registered at 300 68TH ST SE, GRAND RAPIDS, MI 495486927 (Tel: 6164555000)

πŸ“
Updated Business Mailing Address March 28, 2022

Registered at 414 BENSON AVE NE APT 1330, GRAND RAPIDS, MI 495030004 (Tel: 9154714686)

πŸ‘€
Provider Name / Credentials Updated March 28, 2022

Recorded as DANIELLE GODWIN, PA-C

βœ…
NPI Profile Active October 07, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 07, 2019

Registered at 3300 36TH ST SE, GRAND RAPIDS, MI 495122810 (Tel: 6169422110)

πŸ“
Business Mailing Address (Initial Record) October 07, 2019

Registered at 3448 BROOKLYN AVE SE, GRAND RAPIDS, MI 495082440 (Tel: 9154714686)

πŸ‘€
Provider Name / Credentials (Initial Record) October 07, 2019

Recorded as DANIELLE DERBES, PA-C

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 07, 2019

Physician Assistant (license number reported to NPPES: MI 5601009494)

🟒
Initial NPI Registration & Enumeration October 07, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1164063509
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 07, 2019
Last Update: November 06, 2024
Sole Proprietor: No

Other Physician Assistants in Grand Rapids

All Physician Assistants in Grand Rapids

Mailing Address

300 68th St Se

Grand Rapids, MI 495486927

Phone: 6164555000

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.