MRS. RODANTHEE BANJA GOODELL (MSN, APRN-CNS) – Adult Health Clinical Nurse Specialist, NPI 1639110372

MRS. RODANTHEE BANJA GOODELL (MSN, APRN-CNS) is a healthcare provider. based in Oklahoma city, Oklahoma. specializing in CERTIFIED CLINICAL NURSE SPECIALIST (CNS). They hold the professional credentials MSN, APRN-CNS. They hold a License No. R0075102 (OK). The NPI Number for MRS. RODANTHEE BANJA GOODELL (MSN, APRN-CNS) is 1639110372

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
MRS. RODANTHEE BANJA GOODELL (MSN, APRN-CNS)
NPI
1639110372
Phone
(405) 609-4125
Address
825 NE 10TH ST STE 2G
Enumeration Date
10 June 2006
Last Update Date
23 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4056083800
Graduation Year
2006 (20 years ago)
PAC ID
8628172954
Group Practice PAC ID
1759392079
Professional Enrollment ID
I20070327000284
Address ID
OK731208382OK4050XRDXX411
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

123 CERTIFIED CLINICAL NURSE SPECIALIST (CNS) in OK

Provider Addresses for MRS. RODANTHEE BANJA GOODELL (MSN, APRN-CNS)

  • 825 NE 10TH ST STE 2G

    OKLAHOMA CITY, OK 731045417

    Phone: (405) 609-4125

    Fax: (405) 271-4451

    Type: Mailing

  • 4050 W MEMORIAL RD FL 3

    OKLAHOMA CITY, OK 731208382

    Phone: (405) 608-3800

    Fax: (405) 608-3940

    Type: Location

  • OU Physicians, 825, Northeast 10th Street, Oklahoma City, Oklahoma County, Oklahoma, 73104, United States

    SUITE 2F

    OKLAHOMA CITY, OK 731045417

    Phone: (405) 271-8001

    Fax: (405) 271-5145

    Type: Location

  • 800 STANTON L YOUNG BLVD STE 5400

    OKLAHOMA CITY, OK 731045018

    Phone: (918) 810-2095

    Fax: (405) 271-2619

    Type: Mailing

  • 7800 NW 85TH TER

    OKLAHOMA CITY, OK 731323385

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 24 Open Payments records for all available years, with a total value of $1,146.

Total Amount is formed as General ($1,146) + Research ($0) + Ownership ($0) = $1,146.

Last reported payment date: 2024-11-22 • Largest payer in this snapshot: Abbott Laboratories ($588).

Total Amount

$1,146

General + Research + Ownership

Payments

24

Total payment records

General Amount

$1,146

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-22

Latest reported date

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: 2007-03-27

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
I20070327000284ICertified Clinical Nurse Specialist (Cns)OKTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes5348$0
View full utilization report →

Insurance plans in this area (ZIP 73104)

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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: 1759392079View full group profile
NameSpecialtyState
Vascular Surgery, General SurgeryOK
-OK
-OK
Physician AssistantOK
Cardiovascular Disease (Cardiology), Interventional CardiologyOK
Cardiovascular Disease (Cardiology), Internal MedicineOK
Interventional Pain Management, AnesthesiologyOK
Internal Medicine, Cardiovascular Disease (Cardiology)OK
-OK
Internal Medicine, Interventional Cardiology, Cardiovascular Disease (Cardiology)OK

Reviews

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Frequently asked questions

Is MRS. RODANTHEE BANJA GOODELL (MSN, APRN-CNS) listed with a National Provider Identifier?
Yes — MRS. RODANTHEE BANJA GOODELL (MSN, APRN-CNS) has NPI 1639110372 on file in the registry.
Active or inactive — what applies to MRS. RODANTHEE BANJA GOODELL (MSN, APRN-CNS)?
You should see MRS. RODANTHEE BANJA GOODELL (MSN, APRN-CNS) as active in CMS-hosted NPPES data.
What clinical focus is listed for MRS. RODANTHEE BANJA GOODELL (MSN, APRN-CNS)?
At a glance, MRS. RODANTHEE BANJA GOODELL (MSN, APRN-CNS) is tied to Adult Health Clinical Nurse Specialist. Clinical services aligned with this taxonomy classification.
Is MRS. RODANTHEE BANJA GOODELL (MSN, APRN-CNS) located near Oklahoma City?
MRS. RODANTHEE BANJA GOODELL (MSN, APRN-CNS) currently maps to Oklahoma City, Oklahoma in this extract.
When was this NPI issued?
Enumeration for MRS. RODANTHEE BANJA GOODELL (MSN, APRN-CNS) is noted as June 10, 2006 where the registry provides it.

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