KYRA LYN PINEDA GOODELL (APRN,CNP) – Family Nurse Practitioner, NPI 1629798822
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
Provider Addresses for KYRA LYN PINEDA GOODELL (APRN,CNP)
8600 Illinois Route 91
Peoria, IL 61615
Phone: (309) 683-5050
Type: Location
319 N 4th St
Chillicothe, IL 615232059
Phone: (309) 274-4336
Type: Location
401 N Main St
Roanoke, IL 615617585
Phone: (309) 923-2661
Type: Location
8600 Illinoise Route 91
Ste 130
Peoria, IL 61615
Phone: (309) 683-5050
Type: Location
8600 ILLINOIS ROUTE 91
PEORIA, IL 61615
Phone: (309) 683-5050
Type: Location
4922 N RONALD RD
PEORIA, IL 616144520
Phone:
Type: Mailing
435 MAXINE DR
MORTON, IL 615502498
Phone: (309) 263-2424
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $114.
Total Amount is formed as General ($114) + Research ($0) + Ownership ($0) = $114.
Last reported payment date: 2024-03-05 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($114).
Total Amount
$114
General + Research + Ownership
Payments
1
Total payment records
General Amount
$114
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boehringer Ingelheim Pharmaceuticals, Inc. | $114 |
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: 2022-10-10
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 |
|---|---|---|---|---|
| I20221010001389 | I | Nurse Practitioner | IL | 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 | 111 | 103 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 78 | 76 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 38 | 34 | $0 |
| 99495 | Transitional care management services for problem of at least moderate complexity | 17 | 16 | $0 |
| G0008 | Administration of influenza virus vaccine | 12 | 12 | $0 |
Insurance plans in this area (ZIP 61615)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| - | IL | |
| - | TN | |
| - | IL | |
| - | IL | |
| - | IL | |
| - | IL | |
| - | IL | |
| Physician Assistant | MO | |
| - | IL |
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