NICOLE MARIE GOODMAN DNP, APNP, FNP-BC
NPI 1194397760
Nurse Practitioner - Family in Appleton, WI

Q: What is Nicole Goodman's NPI number?

The NPI number for Nicole Goodman is 1194397760. It was assigned to this individual provider in the NPPES registry on July 13, 2021.

Q: What is Nicole Goodman's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nicole Goodman was last updated on November 26, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 13, 2021PECOS Enrolled

3925 N GATEWAY DR, APPLETON, WI 54913(920) 380-4999(920) 380-4961 Get Directions Write a Review

NPPES record last updated: November 26, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 26, 2025, Jul 13, 2021 (2 updates tracked since 2021).

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About Nicole Marie Goodman Dnp, Apnp, Fnp-bc NPPES

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

NICOLE MARIE GOODMAN DNP, APNP, FNP-BC (NPI 1194397760) is an individual family provider in Appleton, Wisconsin, licensed in Wisconsin (11064-33) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS, is affiliated with Ascension Ne Wisconsin - St Elizabeth Campus, and maintains a secondary practice location in Green Bay.

NPPES Registry Identity

NPI1194397760

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameNICOLE MARIE GOODMANCredential: DNP, APNP, FNP-BC

Location Address3925 N GATEWAY DRAppleton, WI 54913-7863

Mailing Address3 Neenah CtrNeenah, WI 54956-3070 · (920) 380-4999

Phone(920) 380-4999

Fax(920) 380-4961

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateJuly 13, 2021

Last NPPES UpdateNovember 26, 20252 updates tracked since enumeration

NPPES CertifiedNovember 26, 2025

✔ NPI 1194397760 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 WI · 11064-33

3925 N GATEWAY DR, Appleton, WI 54913

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Secondary Practice Location 1

Location 12223 Lime Kiln Rd Ste 1Green Bay, WI 54311-6238 · Phone (920) 430-8113 · Fax (920) 430-8122

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Network Health, Security Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Marie Goodman Dnp, Apnp, Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7012313695

PECOS Enrollment IDI20210907002166

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension NE Wisconsin - St Elizabeth Campus

Acute Care Hospitals · Appleton, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520009

Location1506 S Oneida StAppleton, WI 54915 · Outagamie County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54913 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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.

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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.

FOX VALLEY HEMATOLOGY & ONCOLOGY S C

Pharmacy (Community/Retail Pharmacy)

3925 N GATEWAY DR, SUITE 100
APPLETON, WI 54913

Outagamie County (920) 702-4802

BRITTANY E GOODRICH-BRAUN

Family Medicine