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

Kerriann Godwin

Individual provider Nurse Practitioner · NPI 1487276556

Kerriann Godwin is a Nurse Practitioner in Elk River, Minnesota. Qualified in 2019, 7 years ago. Practices with Group Health Plan Inc, a 1,633-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
7
Licensed in
MN
In the registry since
2020
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Practice location Address checks out

530 3rd St NW
Elk River, MN 55330-1445
Phone: (763) 587-4800
Fax: (763) 587-4885
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 7455 (MN)

Record details

NPI number1487276556
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 12, 2020
Last updated in NPPESNovember 11, 2020
Certification dateNovember 11, 2020
Mailing address8170 33rd Ave S, Bloomington, MN 55425-4516

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Group Health Plan Inc — 1633 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

Other providers in Elk River