Tiffany Marie Goodman, AGPCNP-BC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

2022030116 Issued in IN

Practice address

10730 Hunter Lake LN
Indianapolis, IN 46239-8986

Phone

(317) 531-1783

NPI assigned

Aug 5, 2022

Last updated

Aug 5, 2022By 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 IN

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, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rpinmd LLCGroup PAC ID 4183014616, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Purposecare of Indiana Home health agency, Indianapolis, IN, CCN 157252
• Community Hospital of Anderson and Madison County Hospital, Anderson, IN, CCN 150113

Merit-based Incentive Payment System (MIPS)

Final score

23.17 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

77.22

Medicare enrollment (NPD)

Enrolled

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.

• Goodman Health Services LLC

  • Primary Care Nurse Practitioner
  • Indianapolis, IN
  • NPI 1447119383
  Medicare reassignment NPD Authorized official
• Rpinmd LLC

  • Family Medicine Physician
  • Fort Wayne, IN
  • NPI 1710643085
  Medicare reassignment Care Compare group NPD
• RP Wound Care LLC

  • Nurse Practitioner
  • Fort Wayne, IN
  • NPI 1427790500
  Medicare reassignment NPD

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

• Alliance Home Health Services LLC

  dba Purposecare of Indiana

  • Home Health Agency
  • Indianapolis, IN
  • NPI 1043293814
  Care Compare affiliation
• Community Hospital of Anderson & Madison County, Inc

  • General Acute Care Hospital
  • Anderson, IN
  • NPI 1972500452
  Care Compare affiliation

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

{
    "created_epoch": "1659657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659657600000",
    "number": "1265169676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10730 HUNTER LAKE LN",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462398986",
            "telephone_number": "317-531-1783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10730 HUNTER LAKE LN",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462398986",
            "telephone_number": "317-531-1783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "TIFFANY",
        "middle_name": "MARIE",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-05",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IN",
            "license": "2022030116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Goodman, MD
• Lisa Goodman
• Mason R Goodman, MD
• Michael Leigh Goodman, M.D.
• Shawnteja Goodman, RBT
• Naisha Goodner
• Deja' Chirlvone Goodnight
• Jessica Goodpaster, MSPT
• Beth Goodrich, LMFT
• Lachrisa Goodrich

• Primary Care Nurse Practitioner in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Primary Care Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.