Kelly Marie Goodenough, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

C5-0000987 Issued in DE

Practice address

20251 John J Williams Hwy
Lewes, DE 19958-4314

Phone

(302) 644-6860

Fax

(302) 644-6872

NPI assigned

Dec 21, 2012

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 names 1

• Mrs. Kelly Yudt Former name

Medicare fee-for-service enrollment

Enrolled in DE

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

Physician Assistant

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Aspira HealthGroup PAC ID 4486080389, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Aveanna Home Healthcare Home health agency, Milford, DE, CCN 087039
• Beebe Hospital Home Health Home health agency, Millsboro, DE, CCN 087023
• Beebe Medical Center Hospital, Lewes, DE, CCN 080007
• Bayhealth Hospital, Sussex Campus Hospital, Milford, DE, CCN 080009
• Pam Health Rehabilitation Hospital of Georgetown L Inpatient rehabilitation facility, Georgetown, DE, CCN 083028

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: kelly.yudt.1@22424.direct.athenahealth.com

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.

• Aspira Health

  • Urgent Care Clinic/Center
  • Lewes, DE
  • NPI 1295394039
  Medicare reassignment Care Compare group
• Beebe Physician Network Inc.

  • Internal Medicine Physician
  • Lewes, DE
  • NPI 1730133992
  Medicare reassignment

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

• Bayhealth Medical Center, Inc.

  • General Acute Care Hospital
  • Milford, DE
  • NPI 1023006434
  Care Compare affiliation
• Beebe Medical Center, Inc.

  • Home Health Agency
  • Millsboro, DE
  • NPI 1063513075
  Care Compare affiliation
• Beebe Medical Center, Inc.

  • General Acute Care Hospital
  • Lewes, DE
  • NPI 1821196486
  Care Compare affiliation
• Pam Rehabilitation Hospital of Georgetown LLC

  • Rehabilitation Hospital
  • Georgetown, DE
  • NPI 1679147219

  Inpatient rehabilitation facility

  Care Compare affiliation
• Saints Home Healthcare, LLC

  • Home Health Agency
  • Milford, DE
  • NPI 1487706263
  Care Compare affiliation

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

{
    "created_epoch": "1356048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1376889238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20251 JOHN J WILLIAMS HWY",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199584314",
            "telephone_number": "302-644-6860",
            "fax_number": "302-644-6860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20251 JOHN J WILLIAMS HWY",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199584314",
            "telephone_number": "302-644-6860",
            "fax_number": "302-644-6872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODENOUGH",
        "first_name": "KELLY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-21",
        "last_updated": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DE",
            "license": "C5-0000987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "YUDT",
            "prefix": "MRS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Pravinchandra O Gohel, M.D.
• Charlien Goldberg
• Daphne Golden, PT
• Linda Clark Golding, PA-C
• Olivia Goldschmidt, RN
• Amy Marie Goodhue, LCSW
• Paula Goodman, CRNA
• Andrea Marie Goodwin, RN
• Kimberly Ann Gora-Buck, LCSW
• Georgienne Gordon, R.N.

• Physician Assistant in Lewes, DE
• Providers in Lewes, DE by specialty
• Physician Assistant in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.

Verify at the official NPI Registry.