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

Wendy Monique Goodrich, PAC

Individual provider Physician Assistant · NPI 1255400388

Wendy Monique Goodrich, PAC is a Physician Assistant in Moscow, Idaho. Qualified in 2002, 24 years ago. Practices with Gritman Medical Center Inc, a 27-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in District of Columbia, Georgia and Idaho.

Years since qualifying
24
Licensed in
DC, GA, ID
In the registry since
2006
Specialties on file
3
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

623 S Main St Ste 1
Moscow, ID 83843-2983
Phone: (208) 882-2011
Fax: (208) 883-1853
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 2021 K St Nw, Washington, DC 20006-1003 — (202) 293-3636
  • 2021 K St Nw, Washington, DC 20006-1003 — (202) 293-3636
  • 2500 W A St Ste 101, Moscow, ID 83843 — (208) 882-0540

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-1297 (ID)
Physician Assistant Taxonomy 363A00000X · Licence 5747 (GA)
Internal Medicine Physician Taxonomy 207R00000X · Licence PA030391 (DC)

Record details

NPI number1255400388
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedNovember 6, 2006
Last updated in NPPESJuly 19, 2024
Certification dateJuly 19, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Gritman Medical Center Inc — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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