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

Jason Michael Goodman, CRNA

Individual provider Registered Nurse · NPI 1669013702

Jason Michael Goodman, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Fort Atkinson, Wisconsin. Qualified in 2019, 7 years ago. Practices with Fort Healthcare Inc, a 162-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
7
Licensed in
WI
In the registry since
2019
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

611 Sherman Ave E
Fort Atkinson, WI 53538-1960
Phone: (920) 568-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 9634-33 (WI)
Registered Nurse Taxonomy 163W00000X · Licence 135084-30 (WI)

Record details

NPI number1669013702
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedSeptember 30, 2019
Last updated in NPPESOctober 7, 2022
Certification dateOctober 7, 2022
Mailing addressPo Box 249, Fort Atkinson, WI 53538-0249

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Fort Healthcare Inc — 162 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fort Atkinson