WENDY MONIQUE GOODRICH PA C
NPI 1255400388
Physician Assistant in Moscow, ID

Active since November 06, 2006PECOS EnrolledAccepts Medicare Assignment
623 S MAIN ST STE 1, MOSCOW, ID 83843(208) 882-2011(208) 883-1853 Get Directions Write a Review

NPPES record last updated: July 19, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 19, 2024, Apr 16, 2019 (2 updates tracked since 2019).

About Wendy Monique Goodrich Pa C NPPES

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

WENDY MONIQUE GOODRICH PA C (NPI 1255400388) is an individual physician assistant in Moscow, Idaho, licensed in Idaho (PA-1297) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, is affiliated with Gritman Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1255400388
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameWENDY MONIQUE GOODRICHCredential: PA C
Location Address623 S MAIN ST STE 1Moscow, ID 83843-2983
Mailing Address623 S Main St Ste 1Moscow, ID 83843-3042 · (208) 882-2011
Fax(208) 883-1853
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateNovember 6, 2006
Last NPPES UpdateJuly 19, 20242 updates tracked since enumeration
NPPES CertifiedJuly 19, 2024
NPI 1255400388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in ID · PA-1297 Licensed in GA · 5747
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedInternal MedicineTaxonomy 207R00000X · License PA030391 (DC)
623 S MAIN ST STE 1, Moscow, ID 83843

Secondary Practice Locations 2

Location 12021 K St NW, Suite 512Washington, DC 20006-1003 · Phone (202) 293-3636 · Fax (202) 293-0289
Location 22500 W A St Ste 101Moscow, ID 83843 · Phone (208) 882-0540

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

Wendy Monique Goodrich Pa C 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 ID3779572599
PECOS Enrollment IDI20151116002532
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 2

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

Gritman Medical Center

Critical Access Hospitals · Moscow, ID
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number131327
Location700 South Main StreetMoscow, ID 83843 · Latah County
Emergency services

Pullman Regional Hospital

Critical Access Hospitals · Pullman, WA
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501331
Location835 S Bishop BlvdPullman, WA 99163 · Whitman County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83843 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
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
Most-billed visit code 99213
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 10

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

Counselor (Mental Health)
623 S MAIN ST STE 1
MOSCOW, ID 83843
Family Medicine
623 S MAIN ST STE 1
MOSCOW, ID 83843
Pediatrics
623 S MAIN ST STE 1
MOSCOW, ID 83843
Family Medicine
623 S MAIN ST STE 1
MOSCOW, ID 83843
Family Medicine
623 S MAIN ST STE 1
MOSCOW, ID 83843
Family Medicine
623 S MAIN ST STE 1
MOSCOW, ID 83843
Family Medicine
623 S MAIN ST STE 1
MOSCOW, ID 83843
Family Medicine
623 S MAIN ST STE 1
MOSCOW, ID 83843

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 Wendy Goodrich's NPI number?

The NPI number for Wendy Goodrich is 1255400388. It was assigned to this individual provider in the NPPES registry on November 6, 2006.

Where is Wendy Goodrich located?

Wendy Goodrich practices at 623 S Main St Ste 1, Moscow, ID 83843. The listed phone number is (208) 882-2011.

What is Wendy Goodrich's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Wendy Goodrich enrolled in Medicare?

Yes. Wendy 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 Wendy Goodrich accept?

Health plans from Providence Health Plan list Wendy 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.

Is Wendy Goodrich affiliated with any hospitals?

According to CMS data, Wendy Goodrich is affiliated with Gritman Medical Center and Pullman Regional Hospital.

When was this NPI record last updated?

The NPPES record for Wendy Goodrich was last updated on July 19, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.