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

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: August 16, 2026.

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
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

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

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.

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

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.

Counselor (Professional)
308 S WASHINGTON ST STE 200
CLINTON, KY 42031
Nurse Practitioner (Family)
308 S WASHINGTON ST STE 200
CLINTON, KY 42031
Clinic/Center (Federally Qualified Health Center (FQHC))
308 S WASHINGTON ST STE 200
CLINTON, KY 42031
Nurse Practitioner (Family)
308 S WASHINGTON ST STE 200
CLINTON, KY 42031
Nurse Practitioner (Family)
308 S WASHINGTON ST STE 200
CLINTON, KY 42031

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 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.

Where is Stephannie Goodrum located?

Stephannie Goodrum practices at 308 S Washington St Ste 200, Clinton, KY 42031. The listed phone number is (270) 653-0220.

What is Stephannie Goodrum's specialty?

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

Is Stephannie Goodrum enrolled in Medicare?

Yes. Stephannie Goodrum 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.

When was this NPI record last updated?

The NPPES record for Stephannie Goodrum was last updated on October 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.