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RENEE MARIE GOODRICH NURSE PRACTITIONER
NPI 1124750815
Nurse Practitioner - Family in Kokomo, IN

Active since June 30, 2022PECOS EnrolledAccepts Medicare Assignment
2004 W SYCAMORE ST, KOKOMO, IN 46901(765) 865-0135(765) 450-6744 Get Directions Write a Review

NPPES record last updated: September 5, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 5, 2025, Sep 7, 2024, Jan 5, 2024 and 3 more (6 updates tracked since 2022).

About Renee Marie Goodrich Nurse Practitioner NPPES

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

RENEE MARIE GOODRICH NURSE PRACTITIONER (NPI 1124750815) is an individual family provider in Kokomo, Indiana, licensed in Indiana (71012832A) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1124750815
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameRENEE MARIE GOODRICHCredential: NURSE PRACTITIONER
Location Address2004 W SYCAMORE STKokomo, IN 46901-4112
Mailing Address2004 W Sycamore StKokomo, IN 46901-4112 · (765) 865-0135 · Fax (765) 224-0805
Phone(765) 865-0135
Fax(765) 450-6744
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateJune 30, 2022
Last NPPES UpdateSeptember 5, 20256 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2025
✔ NPI 1124750815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IN · 71012832A
Also ListedRegistered NurseTaxonomy 163W00000X · License 28202615A (IN)
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X
2004 W SYCAMORE ST, Kokomo, IN 46901
Open in Google Maps ↗

Other Identifiers 2

Other71012832AIN · Aprn Prescriptive Authority
Other28202615AIN · Registered Nurse

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Renee Marie Goodrich Nurse Practitioner 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 ID6901276104
PECOS Enrollment IDI20230104002705
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.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
106 services52 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
103 services103 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
55 services53 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
54 services53 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
18 services18 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
16 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46901 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 3

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

URGENTCHOICE CARE LLC
Clinic/Center (Urgent Care)
2004 W SYCAMORE ST
KOKOMO, IN 46901
Howard County (765) 865-0135
MRS. JESSICA ANN ARDI FNP
Nurse Practitioner (Family)
2004 W SYCAMORE ST
KOKOMO, IN 46901
Howard County (765) 865-0135
HAGGAN JULIJANTO
Physician Assistant
2004 W SYCAMORE ST
KOKOMO, IN 46901
Howard County (574) 780-0102

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 Renee Goodrich's NPI number?

The NPI number for Renee Goodrich is 1124750815. It was assigned to this individual provider in the NPPES registry on June 30, 2022.

Where is Renee Goodrich located?

Renee Goodrich practices at 2004 W Sycamore St, Kokomo, IN 46901. The listed phone number is (765) 865-0135.

What is Renee Goodrich's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Renee Goodrich enrolled in Medicare?

Yes. Renee Goodrich 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 Renee Goodrich accept?

Health plans from CareSource list Renee Goodrich 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 Renee Goodrich was last updated on September 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.