Active NPI
Kelsey L Goodin, APRN
- Family Nurse Practitioner
- Madison, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71012671A
- Practice address
- 1373 E State Road 62 Ste 2E
Madison, IN 47250-7328 - Phone
- (812) 801-0820
- Fax
- (812) 801-0027
- NPI assigned
- Jun 21, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71012671A | IN | Primary |
| Registered Nurse | 163W00000X | 28244373A | IN |
Addresses
Primary practice location
1373 E State Road 62 Ste 2E
Madison, IN 47250-7328
Mailing address
PO Box 776351
Chicago, IL 60677-6351
Phone (502) 588-9490
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300064344 | Medicaid | IN | |
| 7100831330 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1373 E State Rd
Madison, IN 47250-7328
Phone (812) 801-0820
Hospital & facility affiliations
- Norton-King'S Daughters' Health
- Columbus Regional Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 63.09 of 100
- Quality
- 45.91
- Improvement activities
- 40
- Cost
- 76.14
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71012671A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Medical Associates, Inc. | Current | Accepting new patients | |
| Community Medical Associates, Inc. | Current | Accepting new patients | |
| Norton - Kings Daughters Health Inc | Current | Accepting new patients | |
| Tristate Pathology and Forensic Services LLC | Current | Accepting new patients | |
| Norton - Kings Daughters Health Inc | Current | Accepting new patients | |
| Community Medical Associates, Inc. | Current | Accepting new patients |
Locations
2051 Clevidence Blvd
Clarksville, IN 47129
Phone (812) 280-6650
1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196
1373 E State Road 62
#6F
Madison, IN 47250
Phone (502) 629-7181
1373 E State Road 62
Ste 2E
Madison, IN 47250
Phone (812) 801-0820
Interoperability endpoints
- kgoodin245038@direct.nortonhealthcare.org
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Madison, IN
- NPI 1114955093
-
- Clinical Medical Laboratory
- Madison, IN
- NPI 1497024426
-
- Anatomic Pathology & Clinical Pathology Physician
- Lawrenceburg, IN
- NPI 1649720244
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1881192409
-
- Neurological Surgery Physician
- Louisville, KY
- NPI 1922288760
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Columbus, IN
- NPI 1104998624
-
- General Acute Care Hospital
- Madison, IN
- NPI 1518916048
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759968000000",
"number": "1235860255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 776351",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606776351",
"telephone_number": "502-588-9490",
"fax_number": "502-272-5116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1373 E STATE ROAD 62 STE 2E",
"city": "MADISON",
"state": "IN",
"postal_code": "472507328",
"telephone_number": "812-801-0820",
"fax_number": "812-801-0027"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODIN",
"first_name": "KELSEY",
"middle_name": "L",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-21",
"last_updated": "2025-10-09",
"certification_date": "2025-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71012671A",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IN",
"license": "28244373A",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300064344",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100831330",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Madison, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; 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.