Active NPI
Lindsey Dawn Goddard, M.D.
- Dermatology Physician
- Wausau, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 1893-320
- 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, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, ND
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
- Promoting interoperability
- 97
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.65 of 100
- Quality
- 79.3
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.56 of 100
- Quality
- 74.25
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.16
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.63 of 100
- Quality
- 89.39
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.04
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 74 |
| Removal of skin lesions | 85 |
| Removal of skin cancer | 729 |
| Skin biopsy | 22 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC-1248 | ID | MD | Dermatology Physician |
| 19657 | ND | MD | Dermatology Physician |
| 1893-320 | WI | MD | Procedural Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain West Derm - Blackhart PLLC | Dermatology | Current | Accepting new patients |
| Forefront Dermatology, S.C. | Dermatology | Current | Accepting new patients |
| Forefront Dermatology, S.C. | Dermatology | Current | Accepting new patients |
| Forefront Dermatology, S.C. | Dermatology | Current | Accepting new patients |
| Sanford Medical Center Fargo | Current | Accepting new patients | |
| Sanford Medical Center Fargo | Family Medicine | Current | Accepting new patients |
| Mountain West Derm-Blackhart, PLLC | Dermatology | Current | Accepting new patients |
| Sanford Medical Center Fargo | Current | Accepting new patients | |
| Mountain West Derm-Blackhart, PLLC | Dermatology | Current | Accepting new patients |
| Integrated Dermatology of Clarkston PLLC | Dermatology | Current | Accepting new patients |
| Mountain West Derm - Blackhart PLLC | Current | Accepting new patients | |
| Sanford Bismarck | Current | Accepting new patients | |
| Sanford Health of Northern Minnesota | Family Medicine | Current | Accepting new patients |
| Sanford Health of Northern Minnesota | Family Medicine | Current | Accepting new patients |
| Sanford Bismarck | Family Medicine | Current | 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
- lgoddard@cicrs.emadirect.md
- 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.
-
- Dermatology Physician
- Appleton, WI
- NPI 1083768253
-
- Dermatology Physician
- Clarkston, WA
- NPI 1609656222
-
dba Family Wellness
- Multi-Specialty Clinic/Center
- Bismarck, ND
- NPI 1811941172
Family Medicine
-
dba Sanford 1717 Medical Building
- Family Medicine Physician
- West Fargo, ND
- NPI 1184917924
-
dba Advanced Dermatology & Skin Surgery
- Dermatology Physician
- Spokane Valley, WA
- NPI 1013557933
-
dba Advanced Dermatology & Skin Surgery
- Ambulatory Surgical Clinic/Center
- Spokane Valley, WA
- NPI 1619517539
ID
-
dba Dermatology Clinic of Idaho
- Dermatology Physician
- Boise, ID
- NPI 1548758501
-
dba Sanford Health Kelliher Clinic
- Family Medicine Physician
- Kelliher, MN
- NPI 1770849697
-
- Dermatology Physician
- Clarkston, WA
- NPI 1841269248
-
- Dermatology Physician
- Stevens Point, WI
- NPI 1053679290
-
- Dermatology Physician
- Columbus, OH
- NPI 1063365385
-
- Dermatology Physician
- Tigard, OR
- NPI 1316656994
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Sanford Bemidji
- Ambulatory Surgical Clinic/Center
- Bemidji, MN
- NPI 1093876922
Hospital
-
dba Sanford 1717 Medical Building
- Family Medicine Physician
- West Fargo, ND
- NPI 1184917924
Hospital
-
dba Sanford Physical Therapy
- General Acute Care Hospital
- Fargo, ND
- NPI 1245519081
-
dba Sanford POWER Center
- General Acute Care Hospital
- Fargo, ND
- NPI 1528009412
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2026; 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.