TARYNA J GOODMAN (NP) – Family Nurse Practitioner, NPI 1104928878
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,798 NURSE PRACTITIONER in ID
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Provider Addresses for TARYNA J GOODMAN (NP)
496, Shoup Avenue West, Twin Falls, Twin Falls County, Idaho, 83301, United States
SUITE E
TWIN FALLS, ID 833015043
Phone: (208) 733-2885
Fax: (208) 734-3352
Type: Mailing
Shoup Avenue West, Twin Falls, Twin Falls County, Idaho, 83301, United States
SUITE E
TWIN FALLS, ID 833015043
Phone: (208) 733-2885
Fax: (208) 734-3352
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 16 Open Payments records for all available years, with a total value of $333.
Total Amount is formed as General ($333) + Research ($0) + Ownership ($0) = $333.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Exact Sciences Corporation ($88).
Total Amount
$333
General + Research + Ownership
Payments
16
Total payment records
General Amount
$333
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Exact Sciences Corporation | $88 |
| Novo Nordisk Inc | $57 |
| Boston Scientific Corporation | $48 |
| ABBVIE INC. | $41 |
| Lilly USA, LLC | $29 |
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: 2007-08-17
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 |
|---|---|---|---|---|
| I20070817000437 | I | Nurse Practitioner | ID | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 83301)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | ID | |
| Physical Therapist In Private Practice | ID | |
| Anesthesiology, Pain Management | MO | |
| Physical Therapist In Private Practice | CO | |
| Orthopedic Surgery | ID | |
| Physician Assistant | ID | |
| Occupational Therapist In Private Practice | MT | |
| Physical Therapist In Private Practice | ID | |
| Diagnostic Radiology | ID | |
| G A S T R O E N T E R O L O G Y | MO |
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