HALEY NICHOLE GOODFELLOW RD, LDN
NPI 1952929283
Dietitian, Registered in Edwardsville, IL
About Haley Nichole Goodfellow Rd, Ldn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HALEY NICHOLE GOODFELLOW RD, LDN (NPI 1952929283) is an individual dietitian, registered in Edwardsville, Illinois, licensed in Illinois (164008029) and active in the NPI registry since July 2020. She is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Haley Nichole Goodfellow Rd, Ldn 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.
Medicare Billing Reassignment
Medicare enrollment records show Haley Goodfellow reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Austin, TX 78731
- Reassigned Medicare billing, Texas enrollment
- 487 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 62025 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 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
EDWARDSVILLE, IL 62025
EDWARDSVILLE, IL 62025
EDWARDSVILLE, IL 62025
EDWARDSVILLE, IL 62025
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 Haley Goodfellow's NPI number?
The NPI number for Haley Goodfellow is 1952929283. It was assigned to this individual provider in the NPPES registry on July 13, 2020.
Where is Haley Goodfellow located?
Haley Goodfellow practices at 60 S State Route 157, Edwardsville, IL 62025. The listed phone number is (618) 655-8147.
What is Haley Goodfellow's specialty?
The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.
Is Haley Goodfellow enrolled in Medicare?
Yes. Haley Goodfellow is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Haley Goodfellow's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Haley Goodfellow reassigns Medicare benefits to Nourish, Inc. (Austin, TX). 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 Haley Goodfellow's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Haley Goodfellow accept?
Health plans from Blue Cross and Blue Shield of Texas list Haley Goodfellow 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 Haley Goodfellow was last updated on July 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Haley Nichole Goodfellow, RD, LDN · NPI 1952929283
Dietitian, Registered provider in Edwardsville, Illinois. Individual provider, active in the CMS NPPES registry since July 13, 2020.
## Identity
- **NPI:** 1952929283 (Entity type: Individual)
- **Enumerated:** July 13, 2020
- **Primary specialty:** Dietitian, Registered · taxonomy 133V00000X
- **State license:** 164008029 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 60 S STATE ROUTE 157, Edwardsville, IL 62025-3846
- **Phone:** (618) 655-8147
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Nourish, Inc. (NPI 1558097824, Austin, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** July 13, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1952929283) · Data from the CMS NPPES public registry.