Individual provider Active NPI

Lindsey Dawn Goddard, M.D.

  • Dermatology Physician
  • Wausau, WI
National Provider Identifier
1639565872
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
1893-320 Issued in WI
Practice address
510 N 17TH Ave Ste C
Wausau, WI 54401-4281
Phone
(715) 849-5333
Fax
(715) 849-4083
NPI assigned
Apr 14, 2015
Last updated
Aug 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X MC-1248 ID
MOHS-Micrographic Surgery Physician 207ND0101X 1893-320 WI
Procedural Dermatology Physician 207NS0135X 1893-320 WI
Dermatology Physician 207N00000X MD.MD.61065973 WA
Dermatology Physician 207N00000X 1893-320 WI Primary
MOHS-Micrographic Surgery Physician 207ND0101X MD.MD.61065973 WA
Dermatology Physician 207N00000X 19657 ND
Dermatology Physician 207N00000X MC-1248 ID
Dermatology Physician 207N00000X 65556 AZ

Addresses

Primary practice location

510 N 17TH Ave Ste C
Wausau, WI 54401-4281

Mailing address

801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9008

Other practice location 1

510 S Cowley St
Spokane, WA 99202-1332
Phone (509) 252-1299

Other practice location 2

2700 Crooks Ave Ste 101
Kaukauna, WI 54130-3900
Phone (920) 581-5561

Other practice location 3

3935 N Lightning Dr
Appleton, WI 54913-6717
Phone (920) 968-1790

Other practice location 4

1433 5th St
Clarkston, WA 99403-2714
Phone (509) 758-5141

Other practice location 5

5501A Vern Holmes Dr
Stevens Point, WI 54482-9791
Phone (715) 344-0172

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address Lindsey.Goddard@forefrontdermatology.emadirect.md
Direct Messaging Address Lindsey.Goddard@forefrontdermatology.emadirect.md
Direct Messaging Address Lindsey.Goddard@forefrontdermatology.emadirect.md
Direct Messaging Address Lindsey.Goddard@forefrontdermatology.emadirect.md

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, WI, ID, MN, ND5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20200818003154 WA Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 1557693025 Reassigns benefits to 4 organizations
I20220509002246 WI Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 1557693025 Reassigns benefits to 1 organization
I20220517001087 ID Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 1557693025 Reassigns benefits to 2 organizations
I20220517001498 MN Practitioner - Dermatology 1557693025 Reassigns benefits to 1 organization
I20230626003023 ND Practitioner - Dermatology 1557693025 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanford Medical Center FargoGroup PAC ID 8426967803, 1,210 clinicians
Integrated Dermatology of Clarkston PLLCGroup PAC ID 5597102335, 6 clinicians
Sanford BismarckGroup PAC ID 9739098575, 562 clinicians
Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

1220 Sheyenne St
West Fargo, ND 58078-2637
Phone (701) 234-4445

1250 SE Bishop Blvd
Suite F
Pullman, WA 99163-5449
Phone (509) 758-5141

2830 N Washington St
Bismarck, ND 58503-1482
Phone (701) 323-6400

3318 N 14TH St
Bismarck, ND 58503-1614
Phone (701) 323-8300

4656 40TH Ave S
Fargo, ND 58104-4397

510 N 17TH Ave
Suite C
Wausau, WI 54401-4281
Phone (715) 849-5333

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
89.65 of 100Reported as group
Quality
79.3
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
86.56 of 100Reported as group
Quality
74.25
Promoting interoperability
100
Improvement activities
40
Cost
76.16

Merit-based Incentive Payment System (MIPS)

Final score
89.63 of 100Reported as group
Quality
89.39
Promoting interoperability
100
Improvement activities
40
Cost
76.04

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision74
Removal of skin lesions85
Removal of skin cancer729
Skin biopsy22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MC-1248IDMDDermatology Physician
19657NDMDDermatology Physician
1893-320WIMDProcedural Dermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain West Derm - Blackhart PLLC Dermatology CurrentSince Sep 1, 2022 Accepting new patients
Forefront Dermatology, S.C. Dermatology CurrentSince Apr 20, 2022 Accepting new patients
Forefront Dermatology, S.C. Dermatology CurrentSince Apr 20, 2022 Accepting new patients
Forefront Dermatology, S.C. Dermatology Current Accepting new patients
Sanford Medical Center Fargo CurrentSince Aug 25, 2025 Accepting new patients
Sanford Medical Center Fargo Family Medicine Current Accepting new patients
Mountain West Derm-Blackhart, PLLC Dermatology CurrentSince Sep 1, 2022 Accepting new patients
Sanford Medical Center Fargo CurrentSince Aug 25, 2025 Accepting new patients
Mountain West Derm-Blackhart, PLLC Dermatology CurrentSince Sep 1, 2022 Accepting new patients
Integrated Dermatology of Clarkston PLLC Dermatology CurrentSince Jan 8, 2024 Accepting new patients
Mountain West Derm - Blackhart PLLC CurrentSince Sep 1, 2022 Accepting new patients
Sanford Bismarck CurrentSince Jun 12, 2023 Accepting new patients
Sanford Health of Northern Minnesota Family Medicine Current Accepting new patients
Sanford Health of Northern Minnesota Family Medicine CurrentSince Mar 30, 2022 Accepting new patients
Sanford Bismarck Family Medicine CurrentSince Jun 12, 2023 Accepting new patients
Sanford Clinic North Family Medicine Past Accepting new patients
Forefront Dermatology, S.C. Dermatology Past Accepting new patients
Douglas a. Thomas, MD Dermatology Past Accepting new patients

Locations

4700 Exchange Ct
Ste 110
Boca Raton, FL 33431
Phone (561) 223-8081

7733 W Emerald St
Boise, ID 83704
Phone (208) 376-4777

1700 W Riverstone Dr
Coeur D Alene, ID 83814
Phone (208) 770-2822

1611 Anne St NW
Bemidji, MN 56601
Phone (218) 333-2020

3318 N 14th St
Bismarck, ND 58503
Phone (701) 323-8300

4656 40th Ave S
Ste 130
Fargo, ND 58104
Phone (701) 234-8860

1220 Sheyenne St
West Fargo, ND 58078
Phone (701) 234-4445

1433 5th St
Clarkston, WA 99403
Phone (509) 758-5141

1433 5th St
#C
Clarkston, WA 99403
Phone (509) 758-5141

1250 SE Bishop Blvd
Ste F
Pullman, WA 99163
Phone (509) 332-7424

5905 N Mayfair St
#200
Spokane, WA 99208
Phone 51293039091255

1807 N Hutchinson Rd
Spokane Valley, WA 99212
Phone (509) 456-3414

1125 S 2nd Ave
#A
Walla Walla, WA 99362
Phone (509) 525-9404

3935 N Lightning Dr
Appleton, WI 54913
Phone (920) 968-1790

1400 Scheuring Rd
De Pere, WI 54115
Phone (920) 964-0229

2700 Crooks Ave
Ste 101
Kaukauna, WI 54130
Phone (920) 581-5561

1515 Randolph Ct
Manitowoc, WI 54220
Phone (920) 683-3278

801 York St
Manitowoc, WI 54220
Phone (866) 630-9882

5501A Vern Holmes Dr
Stevens Point, WI 54482
Phone (715) 344-0172

510 N 17th Ave
Ste C
Wausau, WI 54401
Phone (715) 849-5333

Interoperability endpoints

  • Direct secure messaging: lgoddard@cicrs.emadirect.md
  • Direct secure messaging: lgoddard@directaddress.net

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 6

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": "1428969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786060800000",
    "number": "1639565872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 N 17TH AVE STE C",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014281",
            "telephone_number": "715-849-5333",
            "fax_number": "715-849-4083"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "510 S Cowley St",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992021332",
            "country_code": "US",
            "telephone_number": "509-252-1299",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2700 Crooks Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Kaukauna",
            "state": "WI",
            "postal_code": "541303900",
            "country_code": "US",
            "telephone_number": "920-581-5561",
            "fax_number": "920-785-5511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3935 N Lightning Dr",
            "address_purpose": "LOCATION",
            "city": "Appleton",
            "state": "WI",
            "postal_code": "549136717",
            "country_code": "US",
            "telephone_number": "920-968-1790",
            "fax_number": "920-968-1794",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1433 5th St",
            "address_purpose": "LOCATION",
            "city": "Clarkston",
            "state": "WA",
            "postal_code": "994032714",
            "country_code": "US",
            "telephone_number": "509-758-5141",
            "fax_number": "509-758-5299",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5501A Vern Holmes Dr",
            "address_purpose": "LOCATION",
            "city": "Stevens Point",
            "state": "WI",
            "postal_code": "544829791",
            "country_code": "US",
            "telephone_number": "715-344-0172",
            "fax_number": "715-344-3684",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GODDARD",
        "first_name": "LINDSEY",
        "middle_name": "DAWN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-14",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "ID",
            "license": "MC-1248",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "WI",
            "license": "1893-320",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "WI",
            "license": "1893-320",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WA",
            "license": "MD.MD.61065973",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WI",
            "license": "1893-320",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "WA",
            "license": "MD.MD.61065973",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "ND",
            "license": "19657",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "ID",
            "license": "MC-1248",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AZ",
            "license": "65556",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Lindsey.Goddard@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "510 N 17th Ave Ste C",
            "city": "Wausau",
            "state": "WI",
            "country_code": "US",
            "postal_code": "544014281",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Lindsey.Goddard@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "5501A Vern Holmes Dr",
            "city": "Stevens Point",
            "state": "WI",
            "country_code": "US",
            "postal_code": "544829791",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Lindsey.Goddard@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "2700 Crooks Ave Ste 101",
            "city": "Kaukauna",
            "state": "WI",
            "country_code": "US",
            "postal_code": "541303900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Lindsey.Goddard@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "3935 N Lightning Dr",
            "city": "Appleton",
            "state": "WI",
            "country_code": "US",
            "postal_code": "549136717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wausau, WI

Sources for this page

Verify at the official NPI Registry.