Individual provider Active NPI

Deanna Lynn Goff, APRN

  • Nurse Practitioner
  • Sabetha, KS
National Provider Identifier
1669917688
Registry record updated Mar 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
78168 Issued in KS
Practice address
1115 Main St
Sabetha, KS 66534-1832
Phone
(785) 284-2141
Fax
(785) 284-0022
NPI assigned
Dec 29, 2016
Last updated
Mar 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 78168 KS Primary
Family Nurse Practitioner 363LF0000X 2016044689 MO

Addresses

Primary practice location

1115 Main St
Sabetha, KS 66534-1832

Mailing address

1110 Columbine Drive
Holton, KS 66436
Phone (785) 364-2116

Other practice location 1

14TH and Oregon STS
Sabetha, KS 66534-6653
Phone (785) 284-2121

Other names 1

  • Deanna Lynn Koch Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address Sabetha@Sabetha-GPHA.CernerDirect.com Direct Great Plains of Sabetha, Inc.
Direct Messaging Address Sabetha.Clinic@Sabetha-GPHA.CernerDirect.com Direct Great Plains of Sabetha, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20180604001890 KS Practitioner - Nurse Practitioner 6204118466 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Great Plains of Sabetha IncGroup PAC ID 5698676146, shared by 6 NPIs, 17 clinicians

Practice addresses (Care Compare)

1115 Main St
Sabetha, KS 66534-1832
Phone (785) 284-2141

14 TH and Oregon Streets
Sabetha, KS 66534-0229
Phone (785) 284-2121

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.81 of 100Reported as group
Quality
68.74
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
87.36 of 100Reported as group
Quality
81.83
Promoting interoperability
99
Improvement activities
40
Cost
74.61

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
78168KSMDNurse Practitioner
2016044689MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rural Health Resources of Jackson Co Inc CurrentSince May 1, 2018 Accepting new patients
Rural Health Resources of Jackson Co Inc Current Accepting new patients
Great Plains of Sabetha Inc Current Accepting new patients
Great Plains of Sabetha, Inc. CurrentSince Feb 23, 2022 Accepting new patients
Great Plains of Sabetha, Inc. CurrentSince Feb 23, 2022 Accepting new patients
Rural Health Resources of Jackson Co Inc CurrentSince May 1, 2018 Accepting new patients
Rural Health Resources of Jackson Co Inc Current Accepting new patients

Locations

1110 Columbine Dr
Holton, KS 66436
Phone (785) 364-2126

1115 Main St
Sabetha, KS 66534
Phone (785) 284-2141

Organizations & group practices 7

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.

Hospital & facility affiliations 2

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": "1482969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646697600000",
    "number": "1669917688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 COLUMBINE DRIVE",
            "city": "HOLTON",
            "state": "KS",
            "postal_code": "66436",
            "telephone_number": "785-364-2116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 MAIN ST",
            "city": "SABETHA",
            "state": "KS",
            "postal_code": "665341832",
            "telephone_number": "785-284-2141",
            "fax_number": "785-284-0022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14TH AND OREGON STS",
            "address_purpose": "LOCATION",
            "city": "SABETHA",
            "state": "KS",
            "postal_code": "665346653",
            "country_code": "US",
            "telephone_number": "785-284-2121",
            "fax_number": "785-284-0550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOFF",
        "first_name": "DEANNA",
        "middle_name": "LYNN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-29",
        "last_updated": "2022-03-08",
        "certification_date": "2022-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "78168",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2016044689",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Sabetha@Sabetha-GPHA.CernerDirect.com",
            "affiliation": "Y",
            "endpointDescription": "generic secure email address",
            "affiliationName": "Great Plains of Sabetha, Inc.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Meaningful Use Requirement",
            "address_1": "14th and Oregon",
            "city": "Sabetha",
            "state": "KS",
            "country_code": "US",
            "postal_code": "665340229",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Sabetha.Clinic@Sabetha-GPHA.CernerDirect.com",
            "affiliation": "Y",
            "endpointDescription": "generic secure email address",
            "affiliationName": "Great Plains of Sabetha, Inc.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Meaningful Use Requirement",
            "address_1": "1115 Main St",
            "city": "Sabetha",
            "state": "KS",
            "country_code": "US",
            "postal_code": "665341832",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DEANNA",
            "last_name": "KOCH",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sabetha, KS

Sources for this page

Verify at the official NPI Registry.