RANDY PAUL GOLEMAN ARNP
NPI 1104542109
Nurse Practitioner - Psychiatric/Mental Health in Coeur D Alene, ID

Active since October 12, 2022PECOS EnrolledAccepts Medicare Assignment
845 W KATHLEEN AVE, COEUR D ALENE, ID 83815(208) 250-0428 Get Directions Write a Review

NPPES record last updated: April 3, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 3, 2023, Feb 28, 2023, Oct 12, 2022 (3 updates tracked since 2022).

About Randy Paul Goleman Arnp NPPES

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

RANDY PAUL GOLEMAN ARNP (NPI 1104542109) is an individual psychiatric/mental health provider in Coeur D Alene, Idaho, licensed in Idaho (58976) and active in the NPI registry since October 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1104542109
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameRANDY PAUL GOLEMANCredential: ARNP
Location Address845 W KATHLEEN AVECoeur D Alene, ID 83815-9405
Mailing Address6248 W Airhorn AveRathdrum, ID 83858-8014 · (208) 250-0428
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateOctober 12, 2022
Last NPPES UpdateApril 3, 20233 updates tracked since enumeration
NPPES CertifiedApril 1, 2023
NPI 1104542109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses Licensed in ID · 58976 Licensed in WA · AP61409196 Licensed in ID · TEMP58976 Licensed in TX · 1112901 Licensed in HI · APRN-3981 Licensed in NV · 865047
845 W KATHLEEN AVE, Coeur D Alene, ID 83815

Accepted 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

Randy Paul Goleman Arnp 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 ID8921528688
PECOS Enrollment IDI20250225001487
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 83815 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

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

Chiropractor (Nutrition)
845 W KATHLEEN AVE
COEUR D ALENE, ID 83815

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 Randy Goleman's NPI number?

The NPI number for Randy Goleman is 1104542109. It was assigned to this individual provider in the NPPES registry on October 12, 2022.

Where is Randy Goleman located?

Randy Goleman practices at 845 W Kathleen Ave, Coeur D Alene, ID 83815. The listed phone number is (208) 250-0428.

What is Randy Goleman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Randy Goleman enrolled in Medicare?

Yes. Randy Goleman 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 Randy Goleman accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Randy Goleman 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 Randy Goleman was last updated on April 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.