SUSAN JOY GOODEMOTE RN
NPI 1912416124
Nurse Practitioner - Family in Mountain Lake, MN

Q: What is Susan Goodemote's NPI number?

The NPI number for Susan Goodemote is 1912416124. It was assigned to this individual provider in the NPPES registry on September 20, 2017.

Q: What is Susan Goodemote's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Susan Goodemote was last updated on January 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since September 20, 2017PECOS EnrolledAccepts Medicare Assignment

308 8TH ST N, MOUNTAIN LAKE, MN 56159(507) 427-3332 Get Directions Write a Review

NPPES record last updated: January 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 18, 2022, Mar 17, 2018, Jan 12, 2018 and 1 more (4 updates tracked since 2017).

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About Susan Joy Goodemote Rn NPPES

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

SUSAN JOY GOODEMOTE RN (NPI 1912416124) is an individual family provider in Mountain Lake, Minnesota, licensed in Minnesota (3929) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS, is affiliated with Sanford Worthington Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1912416124

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSUSAN JOY GOODEMOTECredential: RN

Location Address308 8TH ST NMountain Lake, MN 56159-1568

Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074

Phone(507) 427-3332

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateSeptember 20, 2017

Last NPPES UpdateJanuary 16, 20244 updates tracked since enumeration

NPPES CertifiedJanuary 16, 2024

✔ NPI 1912416124 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 MN · 3929

Also ListedRegistered NurseTaxonomy 163W00000X · License 173042 (MN)

308 8TH ST N, Mountain Lake, MN 56159

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Secondary Practice Locations 2

Location 113923 290th AveSleepy Eye, MN 56085-5016 · Phone (507) 227-5958

Location 2591 2nd Ave NWindom, MN 56101-1927 · Phone (507) 831-2223 · Fax (507) 831-0135

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Sanford Health Plan, Security Health Plan.Insurance ›

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

Susan Joy Goodemote Rn 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 ID1658639760

PECOS Enrollment IDI20171219002108

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.

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sanford Worthington Medical Center

Acute Care Hospitals · Worthington, MN

OwnershipVoluntary non-profit - Private

CMS Certification Number240022

Location1018 Sixth Avenue PO Box 997Worthington, MN 56187 · Nobles County

Emergency services Birthing friendly

Sanford Westbrook Medical Center

Critical Access Hospitals · Westbrook, MN

OwnershipVoluntary non-profit - Private

CMS Certification Number241302

Location920 Bell Avenue PO Box 188Westbrook, MN 56183 · Cottonwood County

Emergency services

Windom Area Health

Critical Access Hospitals · Windom, MN

OwnershipGovernment - Local

CMS Certification Number241332

Location2150 Hospital Drive, PO Box 339Windom, MN 56101 · Cottonwood County

Emergency services

Sanford Usd Medical Center

Acute Care Hospitals · Sioux Falls, SD

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number430027

Location1305 W 18th St Post Office Box 5039Sioux Falls, SD 57117 · Minnehaha County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56159 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

3 suppliers36 claims42 services$6.11 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

2 suppliers11 claims21 services$2.87 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

1 supplier11 claims11 services$215.40 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

1 supplier11 claims11 services$16.56 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

SIOUX VALLEY CLINIC

Clinic/Center (Rural Health)