KELLY GOODMAN NP & ASSOCIATES PC
NPI 1740503689
Nurse Practitioner - Primary Care in Bethesda, MD

Active since March 07, 2010
4701 SANGAMORE ROAD, SUITE S207, BETHESDA, MD 20816(202) 684-7167(240) 483-0441 Get Directions Write a Review

NPPES record last updated: July 14, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kelly Goodman Np & Associates Pc NPPES

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

KELLY GOODMAN NP & ASSOCIATES PC (NPI 1740503689) is a healthcare organization registered as a primary care in Bethesda, Maryland and active in the NPI registry since March 2010. The organization lists Kelly Ann Goodman, Owner, as its authorized official.

NPPES Registry Identity

NPI1740503689
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameKELLY GOODMAN NP & ASSOCIATES PC
Location Address4701 SANGAMORE ROAD, SUITE S207Bethesda, MD 20816-2529
Mailing Address4701 Sangamore Road, Suite S207Bethesda, MD 20816-2529 · (202) 684-7167 · Fax (240) 483-0441
Fax(240) 483-0441
Organization SubpartNo
Authorized OfficialKelly Ann GoodmanOwner · (202) 684-7167
Enumeration DateMarch 7, 2010
Last NPPES UpdateJuly 14, 2025
NPPES CertifiedJuly 14, 2025
✔ NPI 1740503689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in MD · R156558
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
4701 SANGAMORE ROAD, Bethesda, MD 20816

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Goodman Np & Associates Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

11

Medicare enrollment records show 11 clinicians reassign Medicare billing to Kelly Goodman Np & Associates PC, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 8 within 10 miles. They are listed nearest first.

Clinicians, nearest first (11)

Nurse Practitioner
NPI 1639396914
4701 SANGAMORE ROAD SUITE 5207
Bethesda, MD 20816
(202) 684-7167
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1790677169
4701 SANGAMORE RD STE S207
Bethesda, MD 20816
(202) 684-7167
✔ PECOSSame address
Nurse Practitioner
NPI 1922408970
4701 SANGAMORE RD STE S207
Bethesda, MD 20816
(202) 684-7167
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1922888270
4701 SANGAMORE RD
Bethesda, MD 20816
(202) 684-7167
✔ PECOSSame address
Nurse Practitioner
NPI 1164825980
4701 SANGAMORE RD STE S207
Bethesda, MD 20816
(202) 684-7167
✔ PECOSSame address
Nurse Practitioner
NPI 1487375119
4701 SANGAMORE RD STE S207
Bethesda, MD 20816
(202) 684-7167
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1194335919
1771 N PIERCE ST STE 300
Arlington, VA 22209
(888) 663-6331
✔ PECOS✔ Accepts Medicare4.5 mi
Nurse Practitioner
NPI 1265017784
1775 TYSONS BLVD STE 300
Mc Lean, VA 22102
(888) 663-6331
✔ PECOS✔ Accepts Medicare5.8 mi
Nurse Practitioner
NPI 1134896871
4 ATLANTIC ST SW
Washington, DC 20032
(202) 470-3080
✔ PECOS10 mi
Nurse Practitioner
NPI 1225548308
6100 DAYLONG LN STE 105
Clarksville, MD 21029
(888) 528-8321
✔ PECOS✔ Accepts Medicare21 mi
Nurse Practitioner
NPI 1811529381
1400 LIBERTY PIKE STE 1000
Franklin, TN 37067
(615) 807-0497
✔ PECOS571 mi

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

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 Kelly Goodman Np & Associates PC's NPI number?

The NPI number for Kelly Goodman Np & Associates PC is 1740503689. It was assigned to this organization in the NPPES registry on March 7, 2010.

Where is Kelly Goodman Np & Associates PC located?

Kelly Goodman Np & Associates PC is located at 4701 Sangamore Road Suite S207, Bethesda, MD 20816. The listed phone number is (202) 684-7167.

What is Kelly Goodman Np & Associates PC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Kelly Goodman Np & Associates PC enrolled in Medicare?

Yes. Kelly Goodman Np & Associates PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kelly Goodman Np & Associates PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Kelly Goodman Np & Associates PC. A 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 the clinician's services. Of these, 6 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kelly Goodman Np & Associates PC was last updated on July 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.