SUEANE GOODREAU N.P.
NPI 1669540233
Nurse Practitioner in Ithaca, NY

Q: What is Sueane Goodreau's NPI number?

The NPI number for Sueane Goodreau is 1669540233. It was assigned to this individual provider in the NPPES registry on December 1, 2006.

Q: What is Sueane Goodreau's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Sueane Goodreau was last updated on June 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since December 01, 2006PECOS Enrolled

620 W SENECA ST, ITHACA, NY 14850(607) 273-1513(607) 273-8776 Get Directions Write a Review

NPPES record last updated: June 25, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Sueane Goodreau N.p. NPPES

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

SUEANE GOODREAU N.P. (NPI 1669540233) is an individual nurse practitioner in Ithaca, New York, licensed in New York (F333922-1) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1669540233

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameSUEANE GOODREAUCredential: N.P.

Location Address620 W SENECA STIthaca, NY 14850-3326

Mailing Address620 W Seneca StIthaca, NY 14850-3326 · (607) 273-1513 · Fax (607) 273-8776

Phone(607) 273-1513

Fax(607) 273-8776

Sole ProprietorNo

Medical School CMSOtherGraduated 2002

Enumeration DateDecember 1, 2006

Last NPPES UpdateJune 25, 2014

✔ NPI 1669540233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in NY · F333922-1

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

620 W SENECA ST, Ithaca, NY 14850

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Other Identifiers 1

Medicaid00362863NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sueane Goodreau N.p. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8921063082

PECOS Enrollment IDI20041130000939

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14850 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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 10

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

MARY CATHERINE CLAPP NP

Nurse Practitioner (Women's Health)