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Kelly Ledoux Godwin , PA-C

Physician Assistant โ€ข Appleton, WI

Active NPI 1285136093 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

3925 N Gateway Dr
Appleton, WI 549137863

Call 9203804999 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

3925 N Gateway Dr

Appleton, WI 549137863

Telephone 9203804999
Fax 9203804961
Organization at the Same NPPES Address or Phone
Fox Valley Hematology & Oncology, S.c. Facility NPI 1407868334

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 1 additional practice-address record in Fayetteville, NC. See the list

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

CMS Doctors and Clinicians lists 1 group name: Fayetteville Area Health Education Foundation Inc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

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

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2017

Medicare patients

83 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $16,433 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $11,756 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

1,742 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

$78,682 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 โ€“ by Provider and Drug, 2024.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021โ€“2025.

Guide: How to read an Open Payments record

Years since graduation

9 years (graduated 2017)

CMS Doctors and Clinicians data list 2017 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.

NPI first issued

2018

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; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

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.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Kelly 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 Kelly 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 Appleton and Wisconsin

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 75% of clinicians listed under Physician Assistant in Appleton, WI (2024, 63 clinicians with data). Median for this group: 179. Middle half: 85 to 431.

More Medicare Part B services than 80% of clinicians listed under Physician Assistant in Wisconsin (2024, 1,912 clinicians with data). Median for this group: 151. Middle half: 66 to 327.

Medicare-allowed amount

A higher Medicare-allowed amount than 60% of clinicians listed under Physician Assistant in Appleton, WI (2024, 63 clinicians with data). Median for this group: $11,730. Middle half: $6,898 to $19,187.

A higher Medicare-allowed amount than 60% of clinicians listed under Physician Assistant in Wisconsin (2024, 1,912 clinicians with data). Median for this group: $11,599. Middle half: $5,418 to $21,463.

Paid by Medicare

A higher Medicare payment amount than 60% of clinicians listed under Physician Assistant in Appleton, WI (2024, 63 clinicians with data). Median for this group: $8,613. Middle half: $5,126 to $13,906.

A higher Medicare payment amount than 60% of clinicians listed under Physician Assistant in Wisconsin (2024, 1,912 clinicians with data). Median for this group: $8,471. Middle half: $3,957 to $15,807.

Medicare Part D prescriptions

More Part D prescriptions than 80% of clinicians listed under Physician Assistant in Appleton, WI (2024, 78 clinicians with data). Median for this group: 208. Middle half: 85 to 732.

More Part D prescriptions than 75% of clinicians listed under Physician Assistant in Wisconsin (2024, 2,083 clinicians with data). Median for this group: 195. Middle half: 67 to 674.

Part D drug cost

A higher Part D drug cost than 75% of clinicians listed under Physician Assistant in Appleton, WI (2024, 78 clinicians with data). Median for this group: $2,080. Middle half: $568 to $62,081.

A higher Part D drug cost than 75% of clinicians listed under Physician Assistant in Wisconsin (2024, 2,083 clinicians with data). Median for this group: $2,439. Middle half: $549 to $63,260.

107 active clinicians are listed under Physician Assistant with a practice address in Appleton, WI (3,476 in Wisconsin).

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

Telehealth indicator in Appleton

6.5% of these 107 clinicians have the CMS telehealth indicator.

81.3% of these 107 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2017โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2018โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
149 75 $31.00 $13.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
80 43 $250.00 $102.07
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
68 42 $177.00 $71.42
80053 Blood test, comprehensive group of blood chemicals
48 42 $24.00 $10.35
83036 Hemoglobin a1c level
34 30 $27.00 $9.52
80061 Blood test, lipids (cholesterol and triglycerides)
29 29 $37.00 $13.12
36415 Insertion of needle into vein for collection of blood sample
20 14 $16.00 $8.65
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test
12 12 $18.00 $6.34

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

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

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Amlodipine Besylate Amlodipine Besylate 85 6,580 $631.33 30
Atorvastatin Calcium Atorvastatin Calcium 85 6,090 $768.93 32
Losartan Potassium Losartan Potassium 60 4,316 $541.10 19
Metformin Hcl Metformin Hcl 47 3,450 $432.64 14
Lisinopril Lisinopril 46 2,953 $517.16 13
Albuterol Sulfate Hfa Albuterol Sulfate 43 1,061 $779.94 15
Fluticasone Propionate Fluticasone Propionate 39 1,950 $462.36 20
Levothyroxine Sodium Levothyroxine Sodium 38 2,640 $437.88 11
Zolpidem Tartrate Zolpidem Tartrate 36 1,080 $174.61 โ€”
Omeprazole Omeprazole 33 2,725 $586.36 15
Gabapentin Gabapentin 27 1,660 $359.53 โ€”
Ibuprofen Ibuprofen 26 1,590 $347.86 11
Alprazolam Alprazolam 22 660 $78.70 โ€”
Rosuvastatin Calcium Rosuvastatin Calcium 21 1,830 $397.19 โ€”
Hydrochlorothiazide Hydrochlorothiazide 20 1,800 $65.41 โ€”
Metoprolol Succinate Metoprolol Succinate 20 1,815 $209.67 โ€”
Jardiance Empagliflozin 20 1,080 $22,274.59 โ€”
Losartan-Hydrochlorothiazide Losartan/Hydrochlorothiazide 16 1,390 $207.52 โ€”
Meloxicam Meloxicam 14 760 $93.62 โ€”
Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen 14 348 $650.06 โ€”
Trulicity Dulaglutide 14 700 $23,388.62 โ€”
Diclofenac Sodium Diclofenac Sodium 13 585 $1,254.35 โ€”
Symbicort Budesonide/Formoterol Fumarate 13 630 $4,886.46 โ€”
Hydralazine Hcl Hydralazine Hcl 13 750 $434.33 โ€”
Sertraline Hcl Sertraline Hcl 12 1,020 $86.31 โ€”

(top 25 shown)

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: 2025-10-03
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES WI 8503

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.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES NC 0010-07941

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: Wisconsin Department of Safety and Professional Services.
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

I20251020001161

Enrollment State Jurisdiction

WI

PECOS Control ID

2264797075

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

Fayetteville Area Health Education Foundation Inc

1601 Owen Dr, Fayetteville, NC 283043425

Phone: 9106780100

Secondary Practice Locations

1601 Owen Dr

Fayetteville, NC 283043425

Phone: 9106780100

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
Emily Bicanic , MSN, FNP-C

Nurse Practitioner - Family

NPI 1174020788

Master of Science in Nursing, Family Nurse Practitioner (Certified)

Dr. Nicole Goodman , DNP, APNP, FNP-BC

Nurse Practitioner - Family

NPI 1194397760

Doctor of Nursing Practice, Advanced Practice Nurse Prescriber, Family Nurse Practitioner (Board Certified)

Jessica Griswold , APNP

Nurse Practitioner

NPI 1427421783

Advanced Practice Nurse Prescriber

Jennifer Haen , NP

Nurse Practitioner - Adult Health

NPI 1295193282

Nurse Practitioner

Whitney Hagglund , APNP

Nurse Practitioner

NPI 1164093993

Advanced Practice Nurse Prescriber

Alexa Juzenas , PA-C

Physician Assistant

NPI 1417232752

Physician Assistant (Certified)

Career & Practice History Timeline

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

14 Historical Events
๐Ÿ“
Updated Practice Location October 03, 2025

Registered at 3925 N GATEWAY DR, APPLETON, WI 549137863 (Tel: 9203804999)

๐Ÿ“
Updated Business Mailing Address October 03, 2025

Registered at 3 NEENAH CTR, NEENAH, WI 549563070 (Tel: 9208305900)

๐Ÿ‘ค
Provider Name / Credentials Updated May 01, 2025

Recorded as KELLY GODWIN, PA-C

โœ…
NPI Profile Active March 15, 2018

NPI status registered as active in NPPES database

๐Ÿ“
Updated Practice Location March 15, 2018

Registered at 1601 OWEN DR, FAYETTEVILLE, NC 283043425 (Tel: 9106780100)

๐Ÿ“
Updated Business Mailing Address March 15, 2018

Registered at 1601 OWEN DR, FAYETTEVILLE, NC 283043425 (Tel: 9106780100)

๐Ÿ‘ค
Provider Name / Credentials Updated March 15, 2018

Recorded as KELLY LEDOUX, PA-C

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 15, 2018

Physician Assistant (license number reported to NPPES: NC 0010-07941)

โœ…
NPI Profile Active March 07, 2018

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) March 07, 2018

Registered at 1601 OWEN DR, FAYETTEVILLE, NC 283043425 (Tel: 9106780100)

๐Ÿ“
Business Mailing Address (Initial Record) March 07, 2018

Registered at 1601 OWEN DR, FAYETTEVILLE, NC 283043425 (Tel: 9106780100)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) March 07, 2018

Recorded as KELLY LEDOUX, PA-C

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 07, 2018

Family Medicine (license number reported to NPPES: NC 0010-07941)

๐ŸŸข
Initial NPI Registration & Enumeration March 07, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1285136093
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 07, 2018
Last Update: October 03, 2025
Sole Proprietor: No

Other Physician Assistants in Appleton

All Physician Assistants in Appleton

Mailing Address

3 Neenah Ctr

Neenah, WI 549563070

Phone: 9208305900

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.