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MISS RYAN STEPHANIE GOODMAN CPNP-AC
NPI 1710629704
Nurse Practitioner - Pediatrics in Gillette, WY

Active since April 10, 2022PECOS Enrolled
501 S BURMA AVE, GILLETTE, WY 82716(307) 688-1500 Get Directions Write a Review

NPPES record last updated: July 31, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 13, 2023, Apr 10, 2022 (2 updates tracked since 2022).

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

NPI1710629704
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMISS RYAN STEPHANIE GOODMANCredential: CPNP-AC
Location Address501 S BURMA AVEGillette, WY 82716-3426
Mailing Address501 S Burma AveGillette, WY 82716-3426 · (307) 670-5653
Phone(307) 688-1500
Sole ProprietorYes
Enumeration DateApril 10, 2022
Last NPPES UpdateJuly 31, 20252 updates tracked since enumeration
NPPES CertifiedJuly 31, 2025
✔ NPI 1710629704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in WY · 53158
Also ListedRegistered NurseTaxonomy 163W00000X · License 41646 (WY)
501 S BURMA AVE, Gillette, WY 82716
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

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).

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 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.

New Patient
$87.12 typical visit price
range $56.42 – $170.72
Typical copayment $21.78 (range $14.10 – $42.68)
Most-billed visit code 99203
Established Patient
$99.46 typical visit price
range $18.19 – $139.32
Typical copayment $24.86 (range $4.54 – $34.83)
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 20

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

DANA G HALBROOKS CRNA
Nurse Anesthetist, Certified Registered
501 S BURMA AVE
GILLETTE, WY 82716
Campbell County (307) 688-1000
CAMPBELL COUNTY HOSPITAL DISTRICT
Internal Medicine (Pulmonary Disease)
501 S BURMA AVE, 3S-PULM
GILLETTE, WY 82716
Campbell County (307) 688-3636
PHILIP MCMAHILL M.D.
Internal Medicine (Hematology & Oncology)
501 S BURMA AVE
GILLETTE, WY 82716
Campbell County (307) 688-6230
MS. JUDETH PETERSEN M.A., LPC
Counselor
501 S BURMA AVE
GILLETTE, WY 82716
Campbell County (307) 688-5000
PATRICIA MCJILTON APRN
Nurse Practitioner (Adult Health)
501 S BURMA AVE
GILLETTE, WY 82716
Campbell County (307) 688-3636
JACOB WILLIAM PARMLEY DO
Family Medicine
501 S BURMA AVE
GILLETTE, WY 82716
Campbell County (307) 688-3636
CAMPBELL COUNTY HOSPITAL DISTRICT
Emergency Medicine
501 S BURMA AVE
GILLETTE, WY 82716
Campbell County (307) 688-1415
DEREK FRIEDLAN BS
Social Worker
501 S BURMA AVE
GILLETTE, WY 82716
Campbell County (307) 688-5007

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.

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 12 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.