MRS. STEPHANNIE LORENE GOODRUM APRN
NPI 1700396405
Nurse Practitioner - Family in Clinton, KY

Q: What is Stephannie Goodrum's NPI number?

The NPI number for Stephannie Goodrum is 1700396405. It was assigned to this individual provider in the NPPES registry on October 7, 2017.

Q: What is Stephannie Goodrum's specialty?

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

Active since October 07, 2017PECOS EnrolledAccepts Medicare Assignment

308 S WASHINGTON ST STE 200, CLINTON, KY 42031(270) 653-0220(270) 653-0221 Get Directions Write a Review

NPPES record last updated: October 7, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Mrs. Stephannie Lorene Goodrum Aprn NPPES

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

MRS. STEPHANNIE LORENE GOODRUM APRN (NPI 1700396405) is an individual family provider in Clinton, Kentucky, licensed in Kentucky (3011787) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1700396405

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. STEPHANNIE LORENE GOODRUMCredential: APRN

Location Address308 S WASHINGTON ST STE 200Clinton, KY 42031-1347

Mailing Address175 Evans LnClinton, KY 42031-9402 · (270) 217-9558

Phone(270) 653-0220

Fax(270) 653-0221

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateOctober 7, 2017

✔ NPI 1700396405 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 KY · 3011787

308 S WASHINGTON ST STE 200, Clinton, KY 42031

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BlueCross BlueShield of Tennessee.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

Mrs. Stephannie Lorene Goodrum Aprn 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 ID7719243781

PECOS Enrollment IDI20171107002069, I20251111000966, I20260422000884

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 Reassignments

Medicare enrollment records show Stephannie Goodrum reassigns Medicare billing to 14 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pinelake Physician Practice LLC

0.2 mi

Rural Health

106 W CLAY ST
Clinton, KY 42031

Reassigned Medicare billing, Kentucky enrollment
71 clinicians in this Medicare group

NPI 1437614633 (270) 653-0220

Vmd Primary Providers Central Kentucky

38 mi

Internal Medicine

1000 S 12TH ST
Murray, KY 42071

Reassigned Medicare billing, Kentucky enrollment
70 clinicians in this Medicare group

NPI 1831674654 (888) 978-1055

Apc Holdings LLC

120 mi

Nurse Practitioner

2747 KIRBY RD
Memphis, TN 38119

Reassigned Medicare billing, Tennessee and Kentucky enrollments
Also billed through NPI 1710879499 (Kentucky)
29 clinicians in this Medicare group

NPI 1194617274 (901) 203-0750

Apex Wellness Inc

125 mi

Family Medicine

4101 CHARLOTTE AVE STE F185
Nashville, TN 37209

Reassigned Medicare billing, California, Kentucky, South Carolina and Tennessee enrollments
7 clinicians in this Medicare group

NPI 1386527976 (844) 386-3338

Adcs Care Management 1 Inc

125 mi

Family Medicine

4101 CHARLOTTE AVE STE F185
Nashville, TN 37209

Reassigned Medicare billing, South Carolina enrollment
12 clinicians in this Medicare group

NPI 1609759653 (855) 669-7843

Adcs Care Management 2 Inc

125 mi

Family Medicine

4101 CHARLOTTE AVE STE F185
Nashville, TN 37209

Reassigned Medicare billing, South Carolina enrollment
12 clinicians in this Medicare group

NPI 1770466724 (855) 669-7843

Fpm Holdings LLC

133 mi

Nurse Practitioner

2372 LEBANON PIKE
Nashville, TN 37214

Reassigned Medicare billing, Tennessee and Kentucky enrollments
Also billed through NPI 1922990514 (Kentucky)
30 clinicians in this Medicare group

NPI 1568354140 (629) 206-0541

Cumberland Foot And Ankle Centers

134 mi

Foot & Ankle Surgery

125 MEMORIAL DR STE 400
Franklin, KY 42134

Reassigned Medicare billing, Kentucky enrollment
Medicare enrollment name: Cumberland Foot & Ankle Centers
31 clinicians in this Medicare group

NPI 1912512724 (270) 846-3338

Fast Pace Kentucky PLLC

135 mi

Family

1475 NASHVILLE RD
Franklin, KY 42134

Reassigned Medicare billing, Kentucky enrollment
427 clinicians in this Medicare group

NPI 1457716706 (270) 813-1111

Advanced Foot Care, LLP

235 mi

Foot & Ankle Surgery

3742 TENNESSEE AVE, SUITE 108
Chattanooga, TN 37409

Reassigned Medicare billing, Tennessee enrollment
42 clinicians in this Medicare group

NPI 1992048938 (706) 861-6200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 18

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

167 services24 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.

134 services101 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.

91 services70 patients

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.

90 services70 patients

Injection, ketorolac tromethamine, per 15 mg J1885

Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.

82 services15 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

74 services62 patients

Blood test, basic group of blood chemicals (calcium, total) 80048

A basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.

69 services57 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

64 services37 patients

Blood test, lipids (cholesterol and triglycerides) 80061

A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.

39 services33 patients

Manual urinalysis test with examination using microscope, automated 81001

A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.

37 services32 patients

Liver function blood test panel 80076

A liver function blood test panel helps check the health of your liver. It measures various proteins, liver enzymes, and bilirubin in your blood. If these levels are too high or too low, it could signal a liver problem. It's a simple, non-invasive test that involves drawing blood.

36 services32 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.

25 services25 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

24 services19 patients

Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635

This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.

24 services23 patients

Blood test, thyroid stimulating hormone (tsh) 84443

A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.

23 services20 patients

Detection test by nucleic acid for multiple types influenza virus 87502

A detection test by nucleic acid for multiple types of influenza virus is a diagnostic procedure. It identifies the genetic material of the virus in your body. It's highly accurate and can distinguish between different flu strains, helping in prompt and precise treatment.

20 services19 patients

Thyroxine (thyroid chemical), free 84439

The Thyroxine (thyroid chemical), free test is a blood test that measures the level of free T4 in your body. T4 is a hormone produced by your thyroid gland and is essential for growth and metabolism. If your T4 levels are too high or too low, it could indicate a thyroid disorder.

16 services15 patients

Cyanocobalamin (vitamin b-12) level 82607

A Cyanocobalamin (Vitamin B-12) level test is a blood test that checks the amount of Vitamin B-12 in your body. This vitamin is vital for nerve function and the creation of red blood cells. Low or high levels could indicate a potential health issue.

12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42031 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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 5

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

JESSICA BROOK CHARLTON L.P.C.A.

Counselor (Professional)