Renae Sue Goedhart, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN000597 Issued in NV

Practice address

3370 S Highway 160 Ste 9
Pahrump, NV 89048-5373

Phone

(775) 513-5038

Fax

(775) 376-9966

NPI assigned

May 17, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NV

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, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Physicians Choice Home Health Care Inc Home health agency, Las Vegas, NV, CCN 297107
• Enhabit Home Health Home health agency, Las Vegas, NV, CCN 297115
• Desert View Hospital Hospital, Pahrump, NV, CCN 291311

Medicare enrollment (NPD)

Enrolled

Credentials

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 and National Provider Directory roles.

• Goodheart Medical Group

  • Health Service Clinic/Center
  • Pahrump, NV
  • NPI 1467868679
  Medicare reassignment NPD Authorized official
• Goedhart Medical Group

  • Family Nurse Practitioner
  • Pahrump, NV
  • NPI 1578976619
  NPD Authorized official
• Desert View Regional Medical Center Holdings, LLC

  • Critical Access Hospital
  • Pahrump, NV
  • NPI 1073530168
  NPD (past)
• Georges Tannoury MD Professional Corporation

  • Internal Medicine Physician
  • Pahrump, NV
  • NPI 1013929843
  NPD (past)

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

• DVH Hospital Alliance LLC

  • Critical Access Hospital
  • Pahrump, NV
  • NPI 1073963138
  Care Compare affiliation
• Eh Home Health of the West, LLC

  • Home Health Agency
  • Las Vegas, NV
  • NPI 1841680923
  Care Compare affiliation
• Physicians Choice Home Health Care, Inc

  • Home Health Agency
  • Pahrump, NV
  • NPI 1437210861
  Care Compare affiliation

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544745600000",
    "number": "1275585382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1089",
            "city": "PAHRUMP",
            "state": "NV",
            "postal_code": "890411089",
            "telephone_number": "775-513-5038",
            "fax_number": "775-376-9966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3370 S HIGHWAY 160 STE 9",
            "city": "PAHRUMP",
            "state": "NV",
            "postal_code": "890485373",
            "telephone_number": "775-513-5038",
            "fax_number": "775-376-9966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOEDHART",
        "first_name": "RENAE",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2018-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APN000597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1275585382",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Georges Tannoury MD Professional Corporation
• Anna Marie Gibson
• Cameron Richard Gibson
• Kathryn Elizabeth Gilman, ADN, BSN, MSN, FNP-C
• Goedhart Medical Group
• Charles Goetz
• Lisa Goins
• Golan Integrated Physical Medicine
• Craig Golding, RN
• Marsha Goldstein, LCSW, BCD

• Family Nurse Practitioner in Pahrump, NV
• Providers in Pahrump, NV by specialty
• Family Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2018; 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.