YUKIKO KOBAYASHI GOODELL (ANP) – Nurse Practitioner, NPI 1598378705
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
887 NURSE PRACTITIONER in HI
Provider Addresses for YUKIKO KOBAYASHI GOODELL (ANP)
120 KA'IULANI AVE
KA'IULANI WING 10 & 11
HONOLULU, HI 96815
Phone: (808) 922-2112
Type: Mailing
120 Ka'iulani Ave
Ka'iulani Wing 10 & 11
Honolulu, HI 96815
Phone: (808) 922-2112
Type: Location
PO BOX 4105
PORTLAND, OR 972084105
Phone: (866) 907-1068
Fax: (425) 917-9141
Type: Mailing
3300 PROVIDENCE DR STE B104
ANCHORAGE, AK 995084690
Phone: (907) 212-7997
Fax: (907) 212-8225
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $430.
Total Amount is formed as General ($430) + Research ($0) + Ownership ($0) = $430.
Last reported payment date: 2024-10-04 • Largest payer in this snapshot: Seagen Inc. ($117).
Total Amount
$430
General + Research + Ownership
Payments
8
Total payment records
General Amount
$430
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Seagen Inc. | $117 |
| ABBVIE INC. | $99 |
| PFIZER INC. | $99 |
| Novartis Pharmaceuticals Corporation | $45 |
| GlaxoSmithKline, LLC. | $35 |
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: 2022-06-07
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 |
|---|---|---|---|---|
| I20220607000565 | I | Nurse Practitioner | AK | 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 |
|---|---|---|---|---|
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 96815)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Hematology/Oncology, Internal Medicine | AK | |
| Internal Medicine, Hematology/Oncology | AK | |
| Nurse Practitioner | AK | |
| H E M A T O L O G Y/ O N C O L O G Y | AK | |
| Nurse Practitioner | AK | |
| Hematology, Hematology/Oncology | AK | |
| - | AK | |
| Hematology/Oncology, Hematology, Internal Medicine, Medical Oncology, Medical Oncology | AK | |
| Medical Oncology | AK | |
| H E M A T O L O G Y/ O N C O L O G Y | AK |
Reviews
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