Susan Joy Goodemote, RN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3929 Issued in MN

Practice address

308 8TH St N
Mountain Lake, MN 56159-1568

Phone

(507) 427-3332

NPI assigned

Sep 20, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in MN

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sanford Health NetworkGroup PAC ID 6800707100, 357 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Windom Area Health Hospital, Windom, MN, CCN 241332
• Sanford Usd Medical Center Hospital, Sioux Falls, SD, CCN 430027
• Sanford Worthington Medical Center Hospital, Worthington, MN, CCN 240022
• Sanford Westbrook Medical Center Hospital, Westbrook, MN, CCN 241302

Merit-based Incentive Payment System (MIPS)

Final score

85.53 of 100Reported as group

Quality

80.98

Promoting interoperability

100

Improvement activities

40

Cost

70.78

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

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.

• Sanford Health Network

  • Family Medicine Physician
  • Tracy, MN
  • NPI 1699869875
  Medicare reassignment Care Compare group NPD
• Sanford Clinic

  • Surgery Physician
  • Sioux Falls, SD
  • NPI 1194733535

  MN, Registered Nurse

  Medicare reassignment NPD
• Sanford Health Network

  • Rural Health Clinic/Center
  • Mountain Lake, MN
  • NPI 1568469039
  NPD
• Sanford Health Network

  • Critical Access Hospital
  • Canby, MN
  • NPI 1780781054
  NPD
• Sanford Clinic

  • Diagnostic Radiology Physician
  • Fargo, ND
  • NPI 1306641345
  NPD
• Sanford Clinic

  • Orthopaedic Surgery Physician
  • Sioux Falls, SD
  • NPI 1699968057
  NPD
• Sanford Health Network

  • Family Medicine Physician
  • Boyden, IA
  • NPI 1679726111
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Sanford Health Network

  • Rural Acute Care Hospital
  • Worthington, MN
  • NPI 1396712618
  Care Compare affiliation
• Sanford Health Network

  • Rural Acute Care Hospital
  • Worthington, MN
  • NPI 1679859912
  Care Compare affiliation
• Sanford Health Network

  • Critical Access Hospital
  • Westbrook, MN
  • NPI 1942253547
  Care Compare affiliation
• Windom Area Hospital

  • Critical Access Hospital
  • Windom, MN
  • NPI 1841288644
  Care Compare affiliation
• Sanford Medical Center

  • Air Ambulance
  • Sioux Falls, SD
  • NPI 1023299708

  Hospital

  Care Compare affiliation
• Sanford Medical Center

  • Family Medicine Physician
  • Sioux Falls, SD
  • NPI 1093090342

  Hospital

  Care Compare affiliation
• Sanford Medical Center

  • General Acute Care Hospital
  • Sioux Falls, SD
  • NPI 1821017880
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1505865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1912416124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5074",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 8TH ST N",
            "city": "MOUNTAIN LAKE",
            "state": "MN",
            "postal_code": "561591568",
            "telephone_number": "507-427-3332"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13923 290th Ave",
            "address_purpose": "LOCATION",
            "city": "Sleepy Eye",
            "state": "MN",
            "postal_code": "560855016",
            "country_code": "US",
            "telephone_number": "507-227-5958",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "591 2nd Ave N",
            "address_purpose": "LOCATION",
            "city": "Windom",
            "state": "MN",
            "postal_code": "561011927",
            "country_code": "US",
            "telephone_number": "507-831-2223",
            "fax_number": "507-831-0135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODEMOTE",
        "first_name": "SUSAN",
        "middle_name": "JOY",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-20",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "173042",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "3929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sgoodemote10638742@direct.sanfordhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "308 8th St N",
            "city": "Mountain Lake",
            "state": "MN",
            "country_code": "US",
            "postal_code": "561591568",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sgoodemote10638742@direct.sanfordhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "591 2nd Ave N",
            "city": "Windom",
            "state": "MN",
            "country_code": "US",
            "postal_code": "561011927",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Avera Marshall
• Melanie Lynn Behrends, APRN, CNP
• City of Mountain Lake
• Community Asset Foundation, LLC
• H&S Sisters LLC
• H&S Sisters LLC
• Steven M Harder, M.D.
• Alexandra Vivant Hildebrandt
• Independent School Dist. #173

• Family Nurse Practitioner in Mountain Lake, MN
• Providers in Mountain Lake, MN by specialty
• Family Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.

Verify at the official NPI Registry.