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

Mrs. Alyssa Michelle Goodwin

Individual provider Family Nurse Practitioner · NPI 1215604343

Mrs. Alyssa Michelle Goodwin is a Nurse Practitioner in Troy, Ohio. Qualified in 2020, 6 years ago. Practices with Kettering Independent Medical Group Inc, a 700-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Ohio.

Years since qualifying
6
Licensed in
OH
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

600 W Main St Ste 340
Troy, OH 45373-3384
Phone: (937) 980-7460
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence APRN.CNP.0028282 (OH)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence APRN.CNP.0028282 (OH)

Record details

NPI number1215604343
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 26, 2021
Last updated in NPPESMarch 31, 2025
Certification dateMarch 31, 2025
Mailing address600 W Main St Ste 340, Troy, OH 45373-3384

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Kettering Independent Medical Group Inc — 700 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Troy