MRS. KELLY MARIE GOODENOUGH (PA-C) – Physician Assistant, NPI 1376889238
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
756 PHYSICIAN ASSISTANT in DE
Provider Addresses for MRS. KELLY MARIE GOODENOUGH (PA-C)
20251 JOHN J WILLIAMS HWY
LEWES, DE 199584314
Phone: (302) 644-6860
Fax: (302) 644-6860
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 89 Open Payments records for all available years, with a total value of $1,564.
Total Amount is formed as General ($1,564) + Research ($0) + Ownership ($0) = $1,564.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: PFIZER INC. ($281).
Total Amount
$1,564
General + Research + Ownership
Payments
89
Total payment records
General Amount
$1,564
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $281 |
| Novo Nordisk Inc | $260 |
| Lilly USA, LLC | $153 |
| Amgen Inc. | $110 |
| Astellas Pharma US Inc | $103 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2015-04-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150427000097 | I | Physician Assistant | DE | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 327 | 222 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 195 | 135 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 153 | 153 | $0 |
| G0008 | Administration of influenza virus vaccine | 44 | 44 | $0 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 40 | 40 | $0 |
Insurance plans in this area (ZIP 19958)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | IL | |
| Clinical Social Worker | DE | |
| Nurse Practitioner | DE | |
| Nurse Practitioner | DE | |
| Mental Health Counselor | DE | |
| Nurse Practitioner | DE | |
| Family Practice | NY | |
| Nurse Practitioner | DE | |
| Nurse Practitioner | DE | |
| Nurse Practitioner | PA |
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