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

Stacey Lynn Godman, CRNP

Individual provider Nurse Practitioner · NPI 1689902595

Stacey Lynn Godman, CRNP is a Nurse Practitioner in Woburn, Massachusetts. Qualified in 2009, 17 years ago. Practices with Ivx Health of New Jersey, PC, a 12-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
17
Licensed in
PA
In the registry since
2009
Specialties on file
2
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

12 Gill St
Woburn, MA 01801-1765
Phone: (781) 939-7397
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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 SP010635 (PA)
Registered Nurse Taxonomy 163W00000X · Licence RN546954 (PA)

Record details

NPI number1689902595
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedDecember 4, 2009
Last updated in NPPESDecember 9, 2009

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Ivx Health Of New Jersey, P.C. — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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