KELLY A GOODMAN NP
NPI 1639396914
Nurse Practitioner - Adult Health in Bethesda, MD

Q: What is Kelly Goodman's NPI number?

The NPI number for Kelly Goodman is 1639396914. It was assigned to this individual provider in the NPPES registry on April 19, 2007.

Q: What is Kelly Goodman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Goodman was last updated on July 14, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 19, 2007PECOS EnrolledAccepts Medicare AssignmentCLIA 21D2231407 · Waiver

83.24/100

CMS Quality Rating

4701 SANGAMORE ROAD, SUITE 5207, BETHESDA, MD 20816(202) 684-7167(240) 483-0441 Get Directions Write a Review

NPPES record last updated: July 14, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Kelly A Goodman Np NPPES

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

KELLY A GOODMAN NP (NPI 1639396914) is an individual adult health provider in Bethesda, Maryland, licensed in Maryland (R156558) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through August 2, 2027, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1639396914

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameKELLY A GOODMANCredential: NP

Location Address4701 SANGAMORE ROAD, SUITE 5207Bethesda, MD 20816-2529

Mailing Address4701 Sangamore Road, Suite 5207Bethesda, MD 20816-2529 · (202) 684-7167 · Fax (240) 483-0441

Phone(202) 684-7167

Fax(240) 483-0441

Sole ProprietorYes

Medical School CMSOtherGraduated 2006

Enumeration DateApril 19, 2007

Last NPPES UpdateJuly 14, 2025

NPPES CertifiedJuly 14, 2025

✔ NPI 1639396914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

Licenses✔ Licensed in MD · R156558✔ Licensed in DC · RN966360

Also ListedClinical Nurse Specialist · Adult HealthTaxonomy 364SA2200X · License R156558 (MD)

4701 SANGAMORE ROAD, Bethesda, MD 20816

Open in Google Maps ↗

Other Identifiers 4

Other44330062DC · Carefirst

Medicaid1639396914VA

Medicaid038745900DC

Medicaid413209200MD

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

Kelly A Goodman Np 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 ID8921199928

PECOS Enrollment IDI20070806000388, I20181120000342

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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D2231407

Kelly Goodman Np & Associates · Bethesda, MD

Active · expires Aug 2, 2027

CLIA Number21D2231407

Laboratory TypePhysician Office

Certificate Effective DateAugust 3, 2025

Certificate Expiration DateAugust 2, 2027

Laboratory DirectorKelly A. Goodman

Laboratory Phone(202) 684-7167

Laboratory LocationKelly Goodman Np & Associates4702 Sangamore Rd Suite S207, Bethesda, MD 20816

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 25

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

692 services346 patients

Insertion of needle into vein (3 years or older) 36410

This procedure involves placing a small needle into a vein, typically in the arm. It's done to collect blood for testing or to deliver medication. You may feel a quick pinch, but it's usually over in seconds. It's a common, safe procedure.

681 services494 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.

543 services303 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

389 services389 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

349 services181 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

191 services191 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

173 services173 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

100 services76 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

98 services91 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

86 services86 patients

Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg J3420

This is a procedure where a small dose of Vitamin B-12, also known as Cyanocobalamin, is injected into your body. This vitamin is essential for nerve function and the production of red blood cells. It's often used to treat vitamin B-12 deficiency.

85 services20 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

73 services68 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.

44 services44 patients

Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811

This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.

39 services34 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

38 services32 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

37 services37 patients

Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402

An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.

37 services37 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

34 services34 patients

Administration of vaccine 90471

Administering a vaccine involves injecting a small, safe piece of a virus or bacteria into your body. This triggers your immune system to recognize and fight off the disease in the future. It's a vital tool in preventing serious illnesses and maintaining public health.

28 services22 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

28 services28 patients

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.

20 services19 patients

Removal of impacted ear wax by washing 69209

Impacted ear wax removal by washing, also known as ear irrigation, involves using a pressurized flow of water to break up and dislodge the ear wax. This safe procedure helps restore normal hearing and relieve discomfort caused by the blockage.

18 services17 patients

Removal of impacted ear wax 69210

Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.

17 services14 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.

17 services17 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20816 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

$100.31 typical visit price

range $65.18 – $194.86

Typical copayment $25.07 (range $16.29 – $48.71)

Most-billed visit code 99203

Established Patient

$113.72 typical visit price

range $21.40 – $158.88

Typical copayment $28.43 (range $5.35 – $39.72)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.24/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

85.28

Promoting Interoperability

100

Improvement Activities

Cost

58.85

Reported Quality Measures

Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse)

Lower rates are better for this measure.

79%76 patients1/55-star benchmark: 100%

Advance Care Plan

32%678 patients2/55-star benchmark: 100%

Breast Cancer Screening

64%450 patients3/55-star benchmark: 93%

Cervical Cancer Screening

54%495 patients3/55-star benchmark: 98%

Chlamydia Screening for Women

25%106 patients

Closing the Referral Loop: Receipt of Specialist Report

19%526 patients1/55-star benchmark: 87%

Colorectal Cancer Screening

60%788 patients3/55-star benchmark: 88%

Controlling High Blood Pressure

65%122 patients3/55-star benchmark: 91%

Diabetes: Eye Exam

5%43 patients1/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

33%43 patients3/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

57%3,428 patients2/55-star benchmark: 100%

e-Prescribing

98%2,717 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

18%655 patients1/55-star benchmark: 100%

HIV Screening

21%906 patients2/55-star benchmark: 60%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

43%1,458 patients2/55-star benchmark: 98%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

18%2,720 patients2/55-star benchmark: 61%

Provide Patients Electronic Access to Their Health Information

96%1,841 patients4/55-star benchmark: 100%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 3% · 651 patients

Patients totalRate: 15% · 673 patients

14%673 patients3/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier11 claims11 services$14.31 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

1 supplier11 claims11 services$28.06 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier15 claims15 services$56.52 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

KATHERINE MAE O'MAILEY LCSW-C, LICSW

Social Worker (Clinical)

4701 SANGAMORE ROAD, STE 100N #1037
BETHESDA, MD 20816

Montgomery County (240) 200-0784

JENNIFER LYNN KEHOE NP-C

Nurse Practitioner (Family)

4701 SANGAMORE ROAD, SUITE S207
BETHESDA, MD 20816

Montgomery County (202) 684-7167

KELLY GOODMAN NP & ASSOCIATES PC

Nurse Practitioner (Primary Care)

4701 SANGAMORE ROAD, SUITE S207
BETHESDA, MD 20816

Montgomery County (202) 684-7167

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 Kelly Goodman's NPI number?

The NPI number for Kelly Goodman is 1639396914. It was assigned to this individual provider in the NPPES registry on April 19, 2007.

Where is Kelly Goodman located?

Kelly Goodman practices at 4701 Sangamore Road Suite 5207, Bethesda, MD 20816. The listed phone number is (202) 684-7167.

What is Kelly Goodman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Kelly Goodman enrolled in Medicare?

Yes. Kelly Goodman 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.

Does Kelly Goodman hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2231407) is associated with this NPI, valid through August 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kelly Goodman was last updated on July 14, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

About Kelly A Goodman Np NPPES

NPPES Registry Identity

Specialties & Licenses 2

Other Identifiers 4

Medicare Participation & PECOS CMS

Medicare Enrollment Status

CLIA Laboratory Certificates CMS CLIA

Certificate of Waiver · 21D2231407

Areas of Expertise CMS Part B claims 25

Physician Visit Costs CMS claims · ZIP area

Medicare Quality Performance CMS QPP · MIPS

Reported Quality Measures

Referred Medical Equipment & Supplies CMS DME claims 3

Other Providers at the Same Location NPPES 3

Frequently Asked Questions NPPES & CMS

What is Kelly Goodman's NPI number?

Where is Kelly Goodman located?

What is Kelly Goodman's specialty?

Is Kelly Goodman enrolled in Medicare?

Does Kelly Goodman hold a CLIA laboratory certificate?

When was this NPI record last updated?

Certificate of Waiver 21D2231407