Bobby Goeman, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

CP000531 Issued in SD

Practice address

3015 3Rd Ave SE Ste 104
Aberdeen, SD 57401-5539

Phone

(605) 725-6700

NPI assigned

Jun 27, 2008

Last updated

Sep 16, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SD

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sanford Health Network

  dba Sanford Care Center Vermillion

  • Critical Access Hospital
  • Vermillion, SD
  • NPI 1790721280
  Medicare reassignment
• Sanford Health Network

  dba Sanford Clinic Vermillion

  • Family Medicine Physician
  • Vermillion, SD
  • NPI 1013921733
  NPD
• Sanford Health Network

  dba Sanford Aberdeen Cardiology

  • General Acute Care Hospital
  • Aberdeen, SD
  • NPI 1639423957
  NPD
• Sanford Health Network

  dba Sanford Clinic Mountain Lake

  • Rural Health Clinic/Center
  • Mountain Lake, MN
  • NPI 1568469039
  NPD
• Sanford Health Network

  dba Sanford Clinic Tracy

  • Family Medicine Physician
  • Tracy, MN
  • NPI 1699869875
  NPD (past)

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

{
    "created_epoch": "1214524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1215199500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5074",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175074",
            "telephone_number": "605-328-7180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 3RD AVE SE STE 104",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574015539",
            "telephone_number": "605-725-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOEMAN",
        "first_name": "BOBBY",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-27",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "SD",
            "license": "CP000531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sanjeevi Giridhar, MD
• Quinten Andrew Glass, PHARMD
• Jennifer Glynn
• Ryan Joseph Gnesda, D.O.
• Cynthia A Goehring, LPC-MH, NCC, QMHP
• Lisa Lynn Goette, PHARM D
• Kendall R. Goetz, R.PH.
• Lee V Goetz, PT
• Percy E Golson, P.A.
• Chelsea R Gomer, CNP

• Pediatric Nurse Practitioner in Aberdeen, SD
• Providers in Aberdeen, SD by specialty
• Pediatric Nurse Practitioner in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.