Individual provider Active NPI

Rodanthee Banja Goodell, MSN, APRN-CNS

  • Adult Health Clinical Nurse Specialist
  • Oklahoma City, OK
National Provider Identifier
1639110372
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X
License
R00075102 Issued in OK
Practice address
4050 W Memorial Rd FL 3
Oklahoma City, OK 73120-8382
Phone
(405) 608-3800
Fax
(405) 608-3940
NPI assigned
Jun 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Nurse Specialist 364S00000X R0075102 OK
Adult Health Clinical Nurse Specialist 364SA2200X R00075102 OK Primary

Addresses

Primary practice location

4050 W Memorial Rd FL 3
Oklahoma City, OK 73120-8382

Mailing address

7800 NW 85TH Ter
Oklahoma City, OK 73132-3385

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20070327000284 OK Practitioner - Certified Clinical Nurse Specialist (CNS) 8628172954 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohh Physicians LLCGroup PAC ID 1759392079, 132 clinicians

Practice addresses (Care Compare)

4050 W Memorial Rd
FL 3
Oklahoma City, OK 73120-8382
Phone (405) 608-3800

Hospital & facility affiliations

  • Oklahoma Heart Hospital, LLC Hospital, Oklahoma City, OK, CCN 370215
  • O U Medical Center Hospital, Oklahoma City, OK, CCN 370093
  • Mercy Hospital Oklahoma City, Inc Hospital, Oklahoma City, OK, CCN 370013
  • Integris Baptist Medical Center, Inc Hospital, Oklahoma City, OK, CCN 370028
  • Mercy Hospital Logan County Hospital, Guthrie, OK, CCN 371317

Merit-based Incentive Payment System (MIPS)

Final score
83.69 of 100Reported as group
Quality
73.03
Promoting interoperability
100
Improvement activities
40
Cost
72.6

Merit-based Incentive Payment System (MIPS)

Final score
77.26 of 100Reported as group
Quality
53.73
Promoting interoperability
100
Improvement activities
40
Cost
70.48

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist, Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R0075102OKMDClinical Nurse Specialist
R00075102OKMDAdult Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Ou Health Partners, Inc CurrentSince Dec 30, 2022 Accepting new patients
Ohh Physicians, LLC CurrentSince Dec 9, 2024 Accepting new patients
Ou Health Partners, Inc CurrentSince Dec 30, 2022 Accepting new patients
Summit Medical Center Past Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Ou Medicine Inc. Past Accepting new patients
Oklahoma Heart Hospital, LLC Past Accepting new patients
Ou Health Partners, Inc Past Accepting new patients

Locations

2017 W I 35 Frontage Rd
Ste 240
Edmond, OK 73013
Phone (405) 608-4610

825 NE 10th St
Ste 2G
Oklahoma City, OK 73104
Phone (405) 271-4460

5224 E I 240 Service Rd
Fl 2
Oklahoma City, OK 73135
Phone (405) 628-6800

900 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-2230

825 NE 10th St
Ste F
Oklahoma City, OK 73104

7800 NW 85th Ter
Oklahoma City, OK 73132
Phone (405) 972-7239

825 NE 10th St
Ste 2F
Oklahoma City, OK 73104
Phone (405) 271-5912

4050 W Memorial Rd
#3
Oklahoma City, OK 73120

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/I-7_h5bO8aC4DcrZl24eCXsg8gA1KGV3/
  • FHIR API: https://epicrp.okheart.com/Oauth2Proxy/MYCHART/api/FHIR/R4

Organizations & group practices 8

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 8

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": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1639110372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 NW 85TH TER",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731323385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 W MEMORIAL RD FL 3",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208382",
            "telephone_number": "405-608-3800",
            "fax_number": "405-608-3940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODELL",
        "first_name": "RODANTHEE",
        "middle_name": "BANJA",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN-CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-10",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "OK",
            "license": "R0075102",
            "primary": false
        },
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "OK",
            "license": "R00075102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.