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MARY GOODSPEED PMHNP
NPI 1053069047
Nurse Practitioner in Boise, ID

Active since March 17, 2022PECOS EnrolledAccepts Medicare Assignment
300 S 23RD ST, BOISE, ID 83702(208) 344-3512(208) 466-5359 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mary Goodspeed Pmhnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY GOODSPEED PMHNP (NPI 1053069047) is an individual nurse practitioner in Boise, Idaho, licensed in Idaho (72002) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and is a graduate of University Of South Alabama College Of Medicine (2021).

NPPES Registry Identity

NPI1053069047
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMARY GOODSPEEDCredential: PMHNP
Location Address300 S 23RD STBoise, ID 83702-9100
Mailing AddressPo Box 9Nampa, ID 83653-0009 · (208) 467-4431 · Fax (208) 466-5359
Phone(208) 344-3512
Fax(208) 466-5359
Sole ProprietorNo
Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 2021
Enumeration DateMarch 17, 2022
Last NPPES UpdateNovember 27, 2023
NPPES CertifiedNovember 27, 2023
✔ NPI 1053069047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in ID · 72002
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 72002 (ID)
300 S 23RD ST, Boise, ID 83702
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Select Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mary Goodspeed Pmhnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5799164117
PECOS Enrollment IDI20220615001416
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83702 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOSEPH P DIGRAZIA LCPC
Counselor
300 S 23RD ST
BOISE, ID 83702
Ada County (208) 344-3512
MATTHEW WILSON MD
Family Medicine
300 S 23RD ST
BOISE, ID 83702
Ada County (208) 344-3512
KENDRA M LUTES LCPC
Counselor
300 S 23RD ST
BOISE, ID 83702
Ada County (208) 345-1170
MELISSA ANN MEZO LCSW
Social Worker (Clinical)
300 S 23RD ST
BOISE, ID 83702
Ada County (208) 345-1170
KATHRYN A WICK NP
Nurse Practitioner (Psychiatric/Mental Health)
300 S 23RD ST
BOISE, ID 83702
Ada County (208) 344-3512
BRIAN LEE COLLINS LMSW
Social Worker
300 S 23RD ST
BOISE, ID 83702
Ada County (208) 345-1170
DEVIN R PUGMIRE PSS
Peer Specialist
300 S 23RD ST
BOISE, ID 83702
Ada County (208) 344-3512
EMERY WIGHT LMSW
Social Worker
300 S 23RD ST
BOISE, ID 83702
Ada County (208) 344-3512

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Goodspeed's NPI number?

The NPI number for Mary Goodspeed is 1053069047. It was assigned to this individual provider in the NPPES registry on March 17, 2022.

Where is Mary Goodspeed located?

Mary Goodspeed practices at 300 S 23rd St, Boise, ID 83702. The listed phone number is (208) 344-3512.

What is Mary Goodspeed's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Mary Goodspeed enrolled in Medicare?

Yes. Mary Goodspeed is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mary Goodspeed accept?

Health plans from Moda Health Plan, Inc. and Select Health list Mary Goodspeed as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mary Goodspeed was last updated on November 27, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.