Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Rachael Goodman

Individual provider Family Nurse Practitioner · NPI 1013569151

Rachael Goodman is a Nurse Practitioner in Lees Summit, Missouri. Qualified in 2019, 7 years ago. Practices with Renova Medical Center LLC, a 5-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
7
Licensed in
MO
In the registry since
2019
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Practice location Address checks out

211 NW Executive Way Ste E
Lees Summit, MO 64063-1846
Phone: (816) 434-5205
Fax: (816) 434-5207
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2019023673 (MO)

Record details

NPI number1013569151
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 9, 2019
Last updated in NPPESNovember 3, 2023
Certification dateNovember 3, 2023
Mailing address211 Nw Executive Way Ste E, Lees Summit, MO 64063-1846

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Renova Medical Center Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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