RYAN GOMAN LICSW
NPI 1639606502
Social Worker - Clinical in New Hope, MN
About Ryan Goman Licsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RYAN GOMAN LICSW (NPI 1639606502) is an individual clinical provider in New Hope, Minnesota, licensed in Minnesota (20723) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in Coon Rapids, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ryan Goman Licsw 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.
Medicare Billing Reassignments
4Medicare enrollment records show Ryan Goman reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New Hope, MN 55428
- Reassigned Medicare billing, Minnesota enrollment
- 99 clinicians in this Medicare group
New Hope, MN 55428
- Reassigned Medicare billing, Minnesota enrollment
- 3,633 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 2,373 clinicians in this Medicare group
Oakdale, MN 55128
- Reassigned Medicare billing, Minnesota enrollment
- 83 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 55428 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Ryan Goman's NPI number?
The NPI number for Ryan Goman is 1639606502. It was assigned to this individual provider in the NPPES registry on May 22, 2017.
Where is Ryan Goman located?
Ryan Goman practices at 5555 Boone Ave N, New Hope, MN 55428. The listed phone number is (651) 774-0011.
What is Ryan Goman's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Ryan Goman enrolled in Medicare?
Yes. Ryan Goman 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.
Which organizations bill Medicare for Ryan Goman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ryan Goman reassigns Medicare benefits to 4 organizations: People Incorporated (New Hope, MN), Fairview Express Care (New Hope, MN), Fairview Specialty Services (Minneapolis, MN) and Canvas Health, Inc. (Oakdale, MN). Each 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 Ryan Goman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ryan Goman accept?
Health plans from HealthPartners and Sanford Health Plan list Ryan Goman 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 Ryan Goman was last updated on August 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Ryan Goman, LICSW · NPI 1639606502
Clinical provider in New Hope, Minnesota. Individual provider, active in the CMS NPPES registry since May 22, 2017.
## Identity
- **NPI:** 1639606502 (Entity type: Individual)
- **Enumerated:** May 22, 2017
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 20723 (Minnesota)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 5555 BOONE AVE N, New Hope, MN 55428-3636
- **Phone:** (651) 774-0011 · **Fax:** (651) 774-0606
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): People Incorporated (NPI 1720356900, New Hope, MN); Fairview Express Care (NPI 1316318074, New Hope, MN); Fairview Specialty Services (NPI 1043199334, Minneapolis, MN); Canvas Health, Inc. (NPI 1922051325, Oakdale, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** August 24, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1639606502) · Data from the CMS NPPES public registry.