Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Casey Goniwiecha

Individual provider Family Nurse Practitioner · NPI 1497620884

Casey Goniwiecha is a Nurse Practitioner in Cottonwood, Arizona. Qualified in 2025, 1 year ago. Practices with Northern Arizona Healthcare Corporation, a 395-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
1
Licensed in
AZ
In the registry since
2025
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Practice location Address checks out

340 S Willard St
Cottonwood, AZ 86326-4126
Phone: (928) 634-5551
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 330546 (AZ)

Record details

NPI number1497620884
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 7, 2025
Last updated in NPPESOctober 22, 2025
Certification dateOctober 22, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Northern Arizona Healthcare Corporation — 395 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Cottonwood