RACHEL ELLEN PEAY-GOODMAN FNP-BC
NPI 1164941803
Nurse Practitioner - Family in Pocatello, ID

Active since September 13, 2017PECOS Enrolled
396 YELLOWSTONE AVE, POCATELLO, ID 83201(208) 254-7733 Get Directions Write a Review

NPPES record last updated: January 31, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jan 31, 2020, Sep 13, 2017 (2 updates tracked since 2017).

About Rachel Ellen Peay-goodman Fnp-bc NPPES

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

RACHEL ELLEN PEAY-GOODMAN FNP-BC (NPI 1164941803) is an individual family provider in Pocatello, Idaho, licensed in Idaho (56883) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Chubbuck.

NPPES Registry Identity

NPI1164941803
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameRACHEL ELLEN PEAY-GOODMANCredential: FNP-BC
Location Address396 YELLOWSTONE AVEPocatello, ID 83201-4572
Mailing Address357 La Montagna StradaPocatello, ID 83201-5800
Sole ProprietorNo
Enumeration DateSeptember 13, 2017
Last NPPES UpdateJanuary 31, 20202 updates tracked since enumeration
✔ NPI 1164941803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in ID · 56883
396 YELLOWSTONE AVE, Pocatello, ID 83201

Secondary Practice Location 1

Location 1476 E Chubbuck RdChubbuck, ID 83202-1816 · Phone (208) 233-9898

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rachel Ellen Peay-goodman Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Rachel Peay-goodman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family
3135 PROSPECT AVE
Kansas City, MO 64128
  • Reassigned Medicare billing, Idaho enrollment
  • 4 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83201 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 5

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

Counselor (Professional)
396 YELLOWSTONE AVE
POCATELLO, ID 83201
Social Worker
396 YELLOWSTONE AVE
POCATELLO, ID 83201
Nurse Practitioner (Family)
396 YELLOWSTONE AVE
POCATELLO, ID 83201
Social Worker
396 YELLOWSTONE AVE
POCATELLO, ID 83201
Social Worker (Clinical)
396 YELLOWSTONE AVE
POCATELLO, ID 83201

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 Rachel Peay-goodman's NPI number?

The NPI number for Rachel Peay-goodman is 1164941803. It was assigned to this individual provider in the NPPES registry on September 13, 2017.

Where is Rachel Peay-goodman located?

Rachel Peay-goodman practices at 396 Yellowstone Ave, Pocatello, ID 83201. The listed phone number is (208) 254-7733.

What is Rachel Peay-goodman's specialty?

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

Is Rachel Peay-goodman enrolled in Medicare?

Yes. Rachel Peay-goodman is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Rachel Peay-goodman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rachel Peay-goodman reassigns Medicare benefits to Transtreme, LLC (Kansas City, MO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rachel Peay-goodman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Rachel Peay-goodman was last updated on January 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.