Individual provider Active NPI

Haylee Goad, FNP-C

  • Family Nurse Practitioner
  • Noblesville, IN
National Provider Identifier
1417626409
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71012098A Issued in IN
Practice address
18077 River Rd Ste 200
Noblesville, IN 46062-8334
Phone
(317) 776-7028
Fax
(317) 773-7910
NPI assigned
Sep 13, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71012098A IN Primary

Addresses

Primary practice location

18077 River Rd Ste 200
Noblesville, IN 46062-8334

Mailing address

18077 River Rd Ste 200
Noblesville, IN 46062-8334
Phone (317) 776-7028

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220307001130 IN Practitioner - Nurse Practitioner 0345634408 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kokomo Pain Management, LLCGroup PAC ID 2668660085, 3 clinicians

Practice addresses (Care Compare)

18077 River Rd
Suite 200
Noblesville, IN 46062-8334
Phone (317) 776-7028

Hospital & facility affiliations

  • Riverview Health Hospital, Noblesville, IN, CCN 150059
  • Ascension St Vincent Kokomo Hospital, Kokomo, IN, CCN 150010
  • Community Hospital North Hospital, Indianapolis, IN, CCN 150169
  • Ascension St Vincent Mercy Hospital, Elwood, IN, CCN 151308

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
71012098AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kokomo Pain Management, LLC CurrentSince Jan 1, 2022 Accepting new patients
Major Hospital Past Accepting new patients

Locations

18077 River Rd
Ste 200
Noblesville, IN 46062
Phone (317) 770-2146

Organizations & group practices 2

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1631491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1417626409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18077 RIVER RD STE 200",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460628334",
            "telephone_number": "317-776-7028",
            "fax_number": "317-773-7910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18077 RIVER RD STE 200",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460628334",
            "telephone_number": "317-776-7028",
            "fax_number": "317-773-7910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOAD",
        "first_name": "HAYLEE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-13",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71012098A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Noblesville, IN

Sources for this page

Verify at the official NPI Registry.