DR. KELLY J. GOEB (M.D.) – Family Medicine Physician, NPI 1992708564

DR. KELLY J. GOEB (M.D.) is a healthcare provider. based in Cromwell, Minnesota. specializing in Family Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 40702 (MN). The NPI Number for DR. KELLY J. GOEB (M.D.) is 1992708564

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
DR. KELLY J. GOEB (M.D.)
NPI
1992708564
Phone
(320) 245-2250
Address
PO BOX 116
Enumeration Date
27 May 2005
Last Update Date
21 June 2017

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
2186443811
Graduation Year
1995 (31 years ago)
PAC ID
5395657670
Group Practice PAC ID
5890861173
Professional Enrollment ID
I20100505001117
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:21State licenses:1Digital endpointsOther names

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Provider Addresses for DR. KELLY J. GOEB (M.D.)

  • 116, Jocelyn Road, Bannockburn, Cromwell Community, Central Otago District, Otago, New Zealand

    CROMWELL, MN 557260116

    Phone: (320) 245-2250

    Fax: (320) 245-2555

    Type: Mailing

  • 210, Cairnmuir Road, Bannockburn, Cromwell Community, Central Otago District, Otago, 9310, New Zealand

    CROMWELL, MN 557268171

    Phone: (320) 245-2250

    Fax: (320) 245-2555

    Type: Location

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: 2024-04-09

PECOS data refreshed: 2026-05-27

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 55726)

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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: 5890861173View full group profile
NameSpecialtyState
Nurse PractitionerMN
Family PracticeMN
Family PracticeMN
Nurse PractitionerMN

Reviews

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Frequently asked questions

What is the standard ID for DR. KELLY J. GOEB (M.D.) in the U.S.?
In the U.S., DR. KELLY J. GOEB (M.D.) is identified by NPI 1992708564.
Does the public listing show DR. KELLY J. GOEB (M.D.) as active?
DR. KELLY J. GOEB (M.D.)'s NPI record reflects an active status in NPPES.
What type of care does DR. KELLY J. GOEB (M.D.) provide?
DR. KELLY J. GOEB (M.D.)'s profile centers on Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. KELLY J. GOEB (M.D.)?
DR. KELLY J. GOEB (M.D.) shows a connection to Cromwell, Minnesota in registry-derived data.
Can I export DR. KELLY J. GOEB (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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