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KELSEY GOODMAN APRN, FNP-C
NPI 1790454833
Nurse Practitioner - Family in Lakewood, CA

Active since September 11, 2021PECOS Enrolled
5750 DOWNEY AVE STE 100, LAKEWOOD, CA 90712(562) 630-3105 Get Directions Write a Review

NPPES record last updated: August 8, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 8, 2022, Apr 29, 2022, Sep 11, 2021 (3 updates tracked since 2021).

About Kelsey Goodman Aprn, Fnp-c NPPES

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

KELSEY GOODMAN APRN, FNP-C (NPI 1790454833) is an individual family provider in Lakewood, California, licensed in California (95020968) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Los Angeles.

NPPES Registry Identity

NPI1790454833
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELSEY GOODMANCredential: APRN, FNP-C
Location Address5750 DOWNEY AVE STE 100Lakewood, CA 90712-1411
Mailing Address5750 Downey Ave Ste 100Lakewood, CA 90712-1411 · (562) 676-8747
Phone(562) 630-3105
Sole ProprietorNo
Enumeration DateSeptember 11, 2021
Last NPPES UpdateAugust 8, 20223 updates tracked since enumeration
NPPES CertifiedAugust 8, 2022
✔ NPI 1790454833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95020968
Also ListedRegistered NurseTaxonomy 163W00000X · License 95029663 (CA)
5750 DOWNEY AVE STE 100, Lakewood, CA 90712
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Secondary Practice Location 1

Location 14650 W Sunset BlvdLos Angeles, CA 90027-6062 · Phone (562) 676-8747

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelsey Goodman Aprn, Fnp-c 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 90712 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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 3

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

SAPNA BEHAVIORAL HEALTH LLC
Behavior Analyst
5750 DOWNEY AVE STE 100
LAKEWOOD, CA 90712
Los Angeles County (562) 549-7640
SANA SAEED M.A., BCBA
Behavior Analyst
5750 DOWNEY AVE STE 100
LAKEWOOD, CA 90712
Los Angeles County (562) 549-7640
DR. LINDSAY A LARSON D.O.
Family Medicine
5750 DOWNEY AVE STE 100
LAKEWOOD, CA 90712
Los Angeles County (562) 630-3105

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 Kelsey Goodman's NPI number?

The NPI number for Kelsey Goodman is 1790454833. It was assigned to this individual provider in the NPPES registry on September 11, 2021.

Where is Kelsey Goodman located?

Kelsey Goodman practices at 5750 Downey Ave Ste 100, Lakewood, CA 90712. The listed phone number is (562) 630-3105.

What is Kelsey Goodman's specialty?

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

Is Kelsey Goodman enrolled in Medicare?

Yes. Kelsey Goodman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelsey Goodman was last updated on August 8, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.