Carly Goebel, APRN-CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0026838 Issued in OH

Practice address

15400 Pearl Rd Ste 238
Strongsville, OH 44136-6000

Phone

(216) 347-4387

NPI assigned

Aug 3, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fast Response Nurse Practitioners, LLCGroup PAC ID 8527349992, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wellspring Home Health Care Home health agency, Lorain, OH, CCN 369086
• Amherst Manor Nursing Home Nursing home, Amherst, OH, CCN 365924

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Fast Response Nurse Practitioners, LLC

  • Gerontology Nurse Practitioner
  • Lorain, OH
  • NPI 1720530181
  Medicare reassignment Care Compare group NPD
• Nurse Practitioner Health Services, LLC

  • Primary Care Nurse Practitioner
  • Strongsville, OH
  • NPI 1104181338
  Medicare reassignment NPD
• Dr Thomas E Mandat MD

  • Internal Medicine Physician
  • Cleveland, OH
  • NPI 1750870374
  Medicare reassignment
• Fast Response Nurse Practitioners LLC

  • Gerontology Nurse Practitioner
  • Okatie, SC
  • NPI 1932863651
  NPD
• Dr Jerome J Lamendola LLC

  • Foot & Ankle Surgery Podiatrist
  • Westlake, OH
  • NPI 1770802829
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Amherst Manor, Inc.

  • Skilled Nursing Facility
  • Amherst, OH
  • NPI 1598755951

  Nursing home

  Care Compare affiliation
• Wellspring Home Health Care, Inc.

  • Home Health Agency
  • Lorain, OH
  • NPI 1679141048
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1596412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1124638432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15400 PEARL RD STE 238",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441366000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15400 PEARL RD STE 238",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441366000",
            "telephone_number": "216-347-4387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOEBEL",
        "first_name": "CARLY",
        "credential": "APRN-CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-03",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0026838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Laptop",
            "affiliation": "N",
            "endpointDescription": "Laptop",
            "address_1": "22030 Country Way",
            "city": "Strongsville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441499200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jennifer Kimberly Gibson
• Juliet Marie Giganti, PT, DPT
• Debbie Gilbert, LPN
• Gerald E. Glenn, D.M.D.
• Susan D Glenn, MA, BCBA, COBA
• Going Home Medical Holding Inc.
• Gregory Golonka, MD
• Mondie Gonzales, LISW
• Good Soul Nutrition, LLC
• Mary Kate Goodman

• Family Nurse Practitioner in Strongsville, OH
• Providers in Strongsville, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.