MARY DOREEN GODORNES (NP) – Family Nurse Practitioner, NPI 1780270330

MARY DOREEN GODORNES (NP) is a healthcare provider. based in Kansas city, Kansas. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 2021011075 (MO). The NPI Number for MARY DOREEN GODORNES (NP) is 1780270330

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
MARY DOREEN GODORNES (NP)
NPI
1780270330
Phone
(913) 262-0550
Address
3200 STRONG AVE
Enumeration Date
17 December 2020
Last Update Date
4 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9132620550
Graduation Year
2020 (6 years ago)
PAC ID
9739562901
Group Practice PAC ID
9032181375
Professional Enrollment ID
I20220822000227
Address ID
KS661062116KA3200XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:5State licenses:2Digital endpointsOther names

3,551 NURSE PRACTITIONER in KS

Provider Addresses for MARY DOREEN GODORNES (NP)

  • 3200 STRONG AVE

    KANSAS CITY, KS 661062116

    Phone: (913) 262-0550

    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 14 Open Payments records for all available years, with a total value of $401.

Total Amount is formed as General ($401) + Research ($0) + Ownership ($0) = $401.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Amgen Inc. ($119).

Total Amount

$401

General + Research + Ownership

Payments

14

Total payment records

General Amount

$401

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

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: 2023-08-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20220822000227INurse PractitionerKSTBD
I20230810003661INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 66106)

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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: 9032181375View full group profile
NameSpecialtyState
Family PracticeKS

Reviews

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Frequently asked questions

Is there an official ID for MARY DOREEN GODORNES (NP) in U.S. healthcare records?
The official identifier for MARY DOREEN GODORNES (NP) is NPI 1780270330.
Active or inactive — what applies to MARY DOREEN GODORNES (NP)?
You should see MARY DOREEN GODORNES (NP) as active in CMS-hosted NPPES data.
What area of care is associated with MARY DOREEN GODORNES (NP)?
MARY DOREEN GODORNES (NP)'s record emphasizes Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with MARY DOREEN GODORNES (NP)?
Directory geography for MARY DOREEN GODORNES (NP) centers on Kansas City, Kansas.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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