1. Home
  2. Directory
  3. Wisconsin
  4. Appleton
  5. Nurse Practitioner
  6. NPI Profile

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

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: October 18, 2026.

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

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, maintains a secondary practice location in Green Bay, and is a graduate of Other (2021).

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
Open in Google Maps ↗

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 CareSource (Common Ground Healthcare), Security Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignment

Medicare enrollment records show Nicole Goodman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Thedacare, Incorporated
5.6 mi
Counselor
1095 MIDWAY RD
Menasha, WI 54952
  • Reassigned Medicare billing, Wisconsin enrollment
  • 988 clinicians in this Medicare group
NPI 1306959515 (920) 720-2300

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 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.

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
3925 N GATEWAY DR
APPLETON, WI 54913
Outagamie County (920) 830-6877
STEVEN R HAMEL APN FP-C
Nurse Practitioner (Family)
3925 N GATEWAY DR
APPLETON, WI 54913
Outagamie County (920) 830-6877
HEATHER SCHEELK DNP, FNP-BC
Nurse Practitioner (Family)
3925 N GATEWAY DR
APPLETON, WI 54913
Outagamie County (920) 840-4258
DIRK STEINERT MD
Internal Medicine
3925 N GATEWAY DR
APPLETON, WI 54913
Outagamie County (920) 830-6877
SABA R KHAN DO
Family Medicine
3925 N GATEWAY DR
APPLETON, WI 54913
Outagamie County (920) 702-6371
MS. CYNTHIA FRANCES SUSEDIK D.O.
Family Medicine
3925 N GATEWAY DR
APPLETON, WI 54913
Outagamie County (920) 830-6877
KATHLEEN M ERDAHL
Nurse Practitioner (Family)
3925 N GATEWAY DR
APPLETON, WI 54913
Outagamie County (920) 830-6877

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 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.

Where is Nicole Goodman located?

Nicole Goodman practices at 3925 N Gateway Dr, Appleton, WI 54913. The listed phone number is (920) 380-4999.

What is Nicole Goodman's specialty?

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

Is Nicole Goodman enrolled in Medicare?

Yes. Nicole Goodman is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nicole Goodman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Goodman reassigns Medicare benefits to Thedacare, Incorporated (Menasha, WI). 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 Nicole Goodman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Goodman accept?

Health plans from CareSource (Common Ground Healthcare) and Security Health Plan list Nicole Goodman 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 Nicole Goodman was last updated on November 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.