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Active NPI 1285136093 Individual Practitioner Female Practitioner

Kelly Ledoux Godwin , PA-C

Physician Assistant • Appleton, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kelly Godwin, PA-C is a certified Physician Assistant practicing in Appleton, WI. With approximately 9 years of clinical experience since completing medical education in 2017, Kelly Godwin delivers high-quality medical care to the local community at 3925 N GATEWAY DR.

Kelly Godwin is affiliated with Fayetteville Area Health Education Foundation Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, established patient outpatient office visit, blood test, comprehensive group of blood chemicals. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3925 N Gateway Dr

Appleton, WI 549137863

Telephone 9203804999
Fax 9203804961
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Appleton, WI

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
9 Yrs -2.5 yrs vs City Avg
City Avg: 11.5 Yrs
State Avg: 14.1 Yrs
Regional Practice Density
108 Specialists

Practicing in Appleton, WI (3517 Statewide)

Telehealth Adoption Rate
6.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
59.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Godwin (9 Years) 9 Yrs
Appleton Specialty Average (11.5 Years) 11.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
149 75 $31.00 $13.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
80 43 $250.00 $102.07
99213 Established patient office or other outpatient visit, typically 15 minutes
68 42 $177.00 $71.42
80053 Blood test, comprehensive group of blood chemicals
48 42 $24.00 $10.35
83036 Hemoglobin A1C level
34 30 $27.00 $9.52
80061 Blood test, lipids (cholesterol and triglycerides)
29 29 $37.00 $13.12
36415 Insertion of needle into vein for collection of blood sample
20 14 $16.00 $8.65
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test
12 12 $18.00 $6.34

Medical Specialties & State Licenses

CMS Verified: 2025-10-03
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WI 8503

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License NC 0010-07941

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Fayetteville Area Health Education Foundation Inc

1601 Owen Dr, Fayetteville, NC 283043425

Phone: 9106780100

Secondary Practice Locations

1601 Owen Dr

Fayetteville, NC 283043425

Phone: 9106780100

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

21 Associated Practitioners
Dr. Constantine Dumas , MD, PhD, MPH

Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine

NPI 1083640502

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.), Master of Public Health

Whitney Hagglund , APNP

Nurse Practitioner

NPI 1164093993

Advanced Practice Nurse Prescriber

Emily Bicanic , MSN, FNP-C

Nurse Practitioner - Family

NPI 1174020788

Master of Science in Nursing, Family Nurse Practitioner (Certified)

Dr. Nicole Goodman , DNP, APNP, FNP-BC

Nurse Practitioner - Family

NPI 1194397760

Doctor of Nursing Practice, Advanced Practice Nurse Prescriber, Family Nurse Practitioner (Board Certified)

Dr. Jacob Birdsall , DPT

Physical Therapist

NPI 1205350865

Doctor of Physical Therapy

Brent Martin , APNP

Nurse Practitioner - Family

NPI 1265940365

Advanced Practice Nurse Prescriber

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Practice Location October 03, 2025

Registered at 3925 N GATEWAY DR, APPLETON, WI 549137863 (Tel: 9203804999)

📍
Updated Business Mailing Address October 03, 2025

Registered at 3 NEENAH CTR, NEENAH, WI 549563070 (Tel: 9208305900)

👤
Provider Name / Credentials Updated May 01, 2025

Recorded as KELLY GODWIN, PA-C

NPI Profile Active March 15, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location March 15, 2018

Registered at 1601 OWEN DR, FAYETTEVILLE, NC 283043425 (Tel: 9106780100)

📍
Updated Business Mailing Address March 15, 2018

Registered at 1601 OWEN DR, FAYETTEVILLE, NC 283043425 (Tel: 9106780100)

👤
Provider Name / Credentials Updated March 15, 2018

Recorded as KELLY LEDOUX, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 15, 2018

Physician Assistant (License #0010-07941 in NC)

NPI Profile Active March 07, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location March 07, 2018

Registered at 1601 OWEN DR, FAYETTEVILLE, NC 283043425 (Tel: 9106780100)

📍
Updated Business Mailing Address March 07, 2018

Registered at 1601 OWEN DR, FAYETTEVILLE, NC 283043425 (Tel: 9106780100)

👤
Provider Name / Credentials Updated March 07, 2018

Recorded as KELLY LEDOUX, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 07, 2018

Family Medicine (License #0010-07941 in NC)

🟢
Initial NPI Registration & Enumeration March 07, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1285136093
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 07, 2018
Last Update: October 03, 2025
Sole Proprietor: No

Mailing Address

3 Neenah Ctr

Neenah, WI 549563070

Phone: 9208305900

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.