MISS RYAN STEPHANIE GOODMAN CPNP-AC
NPI 1710629704
Nurse Practitioner - Pediatrics in Gillette, WY
About Miss Ryan Stephanie Goodman Cpnp-ac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISS RYAN STEPHANIE GOODMAN CPNP-AC (NPI 1710629704) is an individual pediatrics provider in Gillette, Wyoming, licensed in Wyoming (53158) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Miss Ryan Stephanie Goodman Cpnp-ac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Ryan Goodman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Gillette, WY 82716
- Reassigned Medicare billing, Wyoming enrollment
- 285 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 82716 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.
GILLETTE, WY 82716
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 Goodman's NPI number?
The NPI number for Ryan Goodman is 1710629704. It was assigned to this individual provider in the NPPES registry on April 10, 2022.
Where is Ryan Goodman located?
Ryan Goodman practices at 501 S Burma Ave, Gillette, WY 82716. The listed phone number is (307) 688-1500.
What is Ryan Goodman's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Ryan Goodman enrolled in Medicare?
Yes. Ryan Goodman is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Ryan Goodman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ryan Goodman reassigns Medicare benefits to Campbell County Hospital District (Gillette, WY). The 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 Goodman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ryan Goodman accept?
Health plans from Blue Cross Blue Shield of Wyoming and UnitedHealthcare list Ryan Goodman 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 Goodman was last updated on July 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.
# Miss Ryan Stephanie Goodman, CPNP-AC · NPI 1710629704
Pediatrics physician in Gillette, Wyoming. Individual provider, active in the CMS NPPES registry since April 10, 2022.
## Identity
- **NPI:** 1710629704 (Entity type: Individual)
- **Enumerated:** April 10, 2022
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** 53158 (Wyoming)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 501 S BURMA AVE, Gillette, WY 82716-3426
- **Phone:** (307) 688-1500
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Campbell County Hospital District (NPI 1063575611, Gillette, WY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 31, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1710629704) · Data from the CMS NPPES public registry.