Goodnight Family Healthcare PLLC

Key facts

NPI: 1154049989
Entity type: Organization (NPI type 2)
Primary specialty: Primary Care Clinic/Center 261QP2300X
Legal business name: GOODNIGHT FAMILY HEALTHCARE PLLC
Practice address: 403 Morrow St N Ste E
Mena, AR 71953-4324
Phone: (479) 385-3055
Fax: (479) 385-3054
NPI assigned: Aug 18, 2022
Organization subpart: No

Authorized official

Name: Gretchen Laurel Goodnight, APRN
Title: Owner/Family Nurse Practitioner
Phone: (479) 216-1016

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Gretchen Laurel Goodnight, ANP Family Nurse Practitioner · Mena, AR · NPI 1134425705

Medicare reassignment NPD AR

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA number	Laboratory	Certificate	Expires
04D2269364	Goodnight Family Healthcare, PLLC 403 Morrow St N, Mena, AR 71953	Certificate of waiver	Sep 25, 2026

Medicare participation

Medicare fee-for-service enrollment: Enrolled in AR

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20220919003077	AR	Part B Supplier - Clinic/Group Practice	5496130932	Receives reassigned benefits from 1 practitioner Practice locations: Mena, AR

National Provider Directory

Locations

403 Morrow St N
Ste E
Mena, AR 71953
Phone (479) 243-9024

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Primary Care Clinic/Center	261QP2300X			Yes

Addresses

Primary practice location

403 Morrow St N Ste E
Mena, AR 71953-4324

Mailing address

113 Myers LN
Mena, AR 71953-8944
Phone (479) 216-1016

Other identifiers

Identifier	Type	State	Issuer
288894762	Medicaid	AR
2I7546	Other	AR	MEDICARE

Other providers in Mena, AR

All providers in Mena, AR · Primary Care Clinic/Center in Arkansas

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 30, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Medicare Care Compare provider data (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.