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

Shelby Doris Goodman

Individual provider Nurse Practitioner · NPI 1457932964

Shelby Doris Goodman is a Nurse Practitioner in Fargo, North Dakota. Qualified in 2020, 6 years ago. Practices with Sanford Medical Center Fargo, a 1,212-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Dakota.

Years since qualifying
6
Licensed in
ND
In the registry since
2021

Practice location Address checks out

700 1st Ave S
Fargo, ND 58103-1802
Phone: (701) 234-2000
Fax: (701) 234-4134
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5225 23rd Ave S, Fargo, ND 58104-7927 — (701) 417-2000

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence R39844 (ND)

Record details

NPI number1457932964
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 16, 2021
Last updated in NPPESOctober 1, 2021
Certification dateOctober 1, 2021
Mailing addressPo Box 5074, Sioux Falls, SD 57117-5074

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Sanford Medical Center Fargo — 1212 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Fargo