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

Renee Marie Goodrich, NURSEPRACTITIONER

Individual provider Urgent Care Clinic/Center · NPI 1124750815

Renee Marie Goodrich, NURSEPRACTITIONER is a Nurse Practitioner in Kokomo, Indiana. Qualified in 2022, 4 years ago. Practices with Urgentchoice Care LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
4
Licensed in
IN
In the registry since
2022
Specialties on file
3

Practice location Address checks out

2004 W Sycamore St
Kokomo, IN 46901-4112
Phone: (765) 865-0135
Fax: (765) 450-6744
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 71012832A (IN)
Urgent Care Clinic/Center Taxonomy 261QU0200X
Registered Nurse Taxonomy 163W00000X · Licence 28202615A (IN)

Record details

NPI number1124750815
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorYes
NPI enumeratedJune 30, 2022
Last updated in NPPESSeptember 5, 2025
Certification dateSeptember 5, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Urgentchoice Care Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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