RACHAEL GOODMAN – Family Nurse Practitioner, NPI 1013569151

RACHAEL GOODMAN is a healthcare provider. based in Overland park, Kansas. specializing in NURSE PRACTITIONER. They hold a License No. 2019023673 (MO). The NPI Number for RACHAEL GOODMAN is 1013569151

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
RACHAEL GOODMAN
NPI
1013569151
Phone
Not provided
Address
4401 W 109TH ST
Enumeration Date
9 July 2019
Last Update Date
3 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8162224195
Graduation Year
2019 (7 years ago)
PAC ID
9931522281
Group Practice PAC ID
3577811736
Professional Enrollment ID
I20200706002042
Address ID
MO640681089LI860XXHAIN201
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

3,551 NURSE PRACTITIONER in KS

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Provider Addresses for RACHAEL GOODMAN

  • 4401, West 109th Street, Overland Park, Johnson County, Kansas, 66211, United States

    OVERLAND PARK, KS 662111303

    Phone:

    Type: Mailing

  • 211 NW EXECUTIVE WAY STE E

    LEES SUMMIT, MO 640631846

    Phone: (816) 434-5205

    Fax: (816) 434-5207

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $153.

Total Amount is formed as General ($153) + Research ($0) + Ownership ($0) = $153.

Last reported payment date: 2024-06-12 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($135).

Total Amount

$153

General + Research + Ownership

Payments

2

Total payment records

General Amount

$153

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2020-07-06

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200706002042INurse PractitionerMOTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
64450Injection of anesthetic agent and/or steroid into other nerve or branch4,56881$0
J1955Injection, levocarnitine, per 1 gm4,22263$0
J3415Injection, pyridoxine hcl, 100 mg3,10062$0
J3411Injection, thiamine hcl, 100 mg3,09862$0
96372Injection of drug or substance under skin or into muscle2,57164$0
View full utilization report →

Insurance plans in this area (ZIP 66211)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3577811736View full group profile
NameSpecialtyState
Nurse PractitionerMO
-MO
Nurse PractitionerKS
Nurse PractitionerKS
Nurse PractitionerMO

Reviews

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Frequently asked questions

Can I use this page to confirm RACHAEL GOODMAN's NPI?
Yes. RACHAEL GOODMAN is listed with NPI 1013569151 in the public NPI dataset.
Does CMS list RACHAEL GOODMAN as active?
Yes — RACHAEL GOODMAN is active in the NPI listing used on this page.
What taxonomy line describes RACHAEL GOODMAN?
For research purposes, treat RACHAEL GOODMAN as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where is RACHAEL GOODMAN based?
RACHAEL GOODMAN is tied to Overland Park, Kansas in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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