Stacia Larose Godboldt, CNM - Medicare Advanced Practice Midwife in St Augustine, FL

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Stacia Larose Godboldt, CNM is a medicare enrolled "Advanced Practice Midwife" in St Augustine, Florida. Her current practice location is 300 Health Park Blvd Ste 3002, St Augustine, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 819-1500.

Stacia Larose Godboldt is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1356040018.

Contact Information

Stacia Larose Godboldt, CNM
300 Health Park Blvd Ste 3002,
St Augustine, FL 32086-3703
(904) 819-1500
Not Available

Map and Direction




Provider's Profile

Full NameStacia Larose Godboldt
GenderFemale
SpecialityAdvanced Practice Midwife
Location300 Health Park Blvd Ste 3002, St Augustine, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1356040018
  • Provider Enumeration Date: 03/01/2023
  • Last Update Date: 03/02/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3274998687
  • Enrollment ID: I20230508000334

Medical Identifiers

Medical identifiers for Stacia Larose Godboldt such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356040018NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367A00000XAdvanced Practice Midwife (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Stacia Larose Godboldt allows following entities to bill medicare on her behalf.
Entity NameFlorida Woman Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386823243
PECOS PAC ID: 5395807218
Enrollment ID: O20081230000509

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stacia Larose Godboldt is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Stacia Larose Godboldt, CNM
184 Oak Shadow Pl,
Saint Johns, FL 32259-7425

Ph: (904) 652-7298		Stacia Larose Godboldt, CNM
300 Health Park Blvd Ste 3002,
St Augustine, FL 32086-3703

Ph: (904) 819-1500

Reviews and Comments


Advanced Practice Midwife Nurses in St Augustine, FL

Lorraine M Searle, CNM
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 300 Health Park Blvd, Suite 3002, St Augustine, FL 32086
Phone: 904-814-8321    Fax: 904-810-1023
Maureen Riccitello, ARNP
Advanced Practice Midwife
Medicare: Not Enrolled in Medicare
Practice Location: 3100 Us Highway 1 S, Suite 1, St Augustine, FL 32086
Phone: 904-824-4990    Fax: 904-824-2226
Elizabeth Arnett, CNM
Advanced Practice Midwife
Medicare: Accepting Medicare Assignments
Practice Location: 300 Health Park Blvd, Suite 3002, St Augustine, FL 32086
Phone: 904-819-1500    
Lindsay Anne Stubbs, CNM
Advanced Practice Midwife
Medicare: Accepting Medicare Assignments
Practice Location: 300 Health Park Blvd Ste 3002, St Augustine, FL 32086
Phone: 904-819-1500    Fax: 904-810-1023
Mrs. Elizabeth H Meadows, CNM
Advanced Practice Midwife
Medicare: Accepting Medicare Assignments
Practice Location: 300 Health Park Blvd, Suite 3002, St Augustine, FL 32086
Phone: 904-819-1500    Fax: 904-810-1023

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.