RACHELLE NICOLE GOODBRED (AUD) – Audiologist-Hearing Aid Fitter, NPI 1780104349

RACHELLE NICOLE GOODBRED (AUD) is a healthcare provider. based in Bel air, Maryland. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials AUD. They hold a License No. 4071 (SC). The NPI Number for RACHELLE NICOLE GOODBRED (AUD) is 1780104349

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
RACHELLE NICOLE GOODBRED (AUD)
NPI
1780104349
Phone
(410) 889-0795
Address
2227 Old Emmorton Rd Ste 114
Enumeration Date
26 June 2017
Last Update Date
1 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7578252500
Graduation Year
2017 (9 years ago)
PAC ID
2860763042
Group Practice PAC ID
7012820848
Professional Enrollment ID
I20200403000463
Address ID
VA230613792GL5659XDRXX309
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

289 QUALIFIED AUDIOLOGIST in MD

Provider Addresses for RACHELLE NICOLE GOODBRED (AUD)

  • 2227 Old Emmorton Rd Ste 114

    Bel Air, MD 210156190

    Phone: (410) 889-0795

    Type: Location

  • 120 Westminster Pike, Suite 106

    Reisterstown, MD 21136

    Phone: (410) 889-0795

    Type: Location

  • Enterprise Parkway, Hampton Roads Center - South Campus, Northampton, Hampton City, Virginia, 23666, United States

    HAMPTON, VA 236666249

    Phone: (757) 825-2500

    Fax: (757) 825-2521

    Type: Location

  • 2295 HENRY TECKLENBURG DR

    CHARLESTON, SC 294147801

    Phone: (843) 766-7103

    Fax: (843) 763-3834

    Type: Mailing

  • 1220A E JOPPA RD STE 230D

    TOWSON, MD 212865817

    Phone: (410) 889-0795

    Fax: (877) 766-8925

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-12-08

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

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
I20170807001221IQualified AudiologistSCTBD
I20200403000463IQualified AudiologistVATBD
I20241008001051IQualified AudiologistMDTBD
I20251208002495IQualified AudiologistNCTBD

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
92557Comprehensive hearing and speech recognition test270261$0
92567Test to assess middle ear function182178$0
92552Test for hearing various pitches using earphone9292$0
92556Test for ability to detect and repeat spoken words with speech recognition9292$0
View full utilization report →

Insurance plans in this area (ZIP 21015)

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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: 7012820848View full group profile
NameSpecialtyState
Physician AssistantVA
Nurse PractitionerVA
Physician AssistantVA
Nurse PractitionerVA
Qualified AudiologistVA
Qualified AudiologistVA
Qualified AudiologistWA
Nurse PractitionerVA
Nurse PractitionerVA
Qualified AudiologistVA

Reviews

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Frequently asked questions

How do I look up RACHELLE NICOLE GOODBRED (AUD) by NPI?
Use NPI 1780104349 when you need to reference RACHELLE NICOLE GOODBRED (AUD) in forms, claims, or directories.
Is RACHELLE NICOLE GOODBRED (AUD)'s NPI currently valid?
The extract we use shows RACHELLE NICOLE GOODBRED (AUD) as active.
What kind of provider is RACHELLE NICOLE GOODBRED (AUD)?
The page reflects Audiologist-Hearing Aid Fitter for RACHELLE NICOLE GOODBRED (AUD). Clinical services aligned with this taxonomy classification.
What location metadata exists for RACHELLE NICOLE GOODBRED (AUD)?
The page summarizes Bel Air, Maryland for RACHELLE NICOLE GOODBRED (AUD); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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