Active NPI
Martha Hoffman Goedert, CNM. FNP, PHD,FACNM
- Nurse Practitioner
- Omaha, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP60031352
- Practice address
- 6288 Glenwood Rd
Omaha, NE 68132-1854 - Phone
- (402) 990-5250
- NPI assigned
- Oct 17, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 51363 | NE | |
| Family Nurse Practitioner | 363LF0000X | 110117 | NE | |
| Advanced Practice Midwife | 367A00000X | 120006 | NE | |
| Nurse Practitioner | 363L00000X | AP60031352 | WA | Primary |
Addresses
Primary practice location
6288 Glenwood Rd
Omaha, NE 68132-1854
Mailing address
6288 Glenwood Rd
Omaha, NE 68132-1854
Phone (402) 990-5250
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 470765154 | Other | IA | FEDERAL ID NUMBER |
| 0420166 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 94.62 of 100
- Quality
- 77.21
- Promoting interoperability
- 99.06
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife, Nurse Practitioner, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51363 | NE | MD | Registered Nurse |
| 110117 | NE | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Clinics LLC | Current | Accepting new patients | |
| Legacy Clinics LLC | Current | Accepting new patients |
Locations
1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134
1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600
305 SE Chkalov Dr
Ste 170
Vancouver, WA 98683
Phone (360) 799-3912
200 NE Mother Joseph Pl
Ste 410
Vancouver, WA 98664
Phone (503) 413-3580
3425 SE 192nd Ave
Ste 106
Vancouver, WA 98683
Phone (360) 205-2960
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.
-
- Rural Health Clinic/Center
- Sandy, OR
- NPI 1730472192
-
- Clinic/Center
- Portland, OR
- NPI 1902827272
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705536000000",
"number": "1710067327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6288 GLENWOOD RD",
"city": "OMAHA",
"state": "NE",
"postal_code": "681321854",
"telephone_number": "402-990-5250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6288 GLENWOOD RD",
"city": "OMAHA",
"state": "NE",
"postal_code": "681321854",
"telephone_number": "402-990-5250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOEDERT",
"first_name": "MARTHA",
"middle_name": "HOFFMAN",
"credential": "CNM. FNP, PHD,FACNM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-17",
"last_updated": "2024-01-18",
"certification_date": "2024-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NE",
"license": "51363",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NE",
"license": "110117",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "NE",
"license": "120006",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP60031352",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL ID NUMBER",
"identifier": "470765154",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0420166",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; 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.