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

Mikaela R Goodwater, FNP-C

Individual provider Family Nurse Practitioner · NPI 1154143089

Mikaela R Goodwater, FNP-C is a Nurse Practitioner in Canon City, Colorado. Qualified in 2024, 2 years ago. Practices with Alpine Medical Group Colorado PLLC, a 106-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
2
Licensed in
CO
In the registry since
2024
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

715 S 9th St
Canon City, CO 81212-4911
Phone: (719) 269-8820
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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 APN.1000278-NP (CO)

Record details

NPI number1154143089
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedOctober 30, 2024
Last updated in NPPESFebruary 7, 2025
Certification dateFebruary 7, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Alpine Medical Group Colorado Pllc — 106 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Canon City