Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

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

Practice location Address checks out

211 NW Executive Way Ste E
Lees Summit, MO 64063-1846
Phone: (816) 434-5205
Fax: (816) 434-5207
Show map & directions

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

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

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients115
Services billed 5,583 a service is one billed item, such as a visit, a test or a procedure
Average patient age74

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Renova Medical Center LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice.

Other providers in Lees Summit