Active NPI
Katherine Mary Goodenough, APNP
- Family Nurse Practitioner
- Eau Claire, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3584
- Practice address
- 3802 Oakwood Mall Dr
Eau Claire, WI 54701-3016 - Phone
- (715) 839-9280
- NPI assigned
- Dec 11, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3584 | WI | Primary |
Addresses
Primary practice location
3802 Oakwood Mall Dr
Eau Claire, WI 54701-3016
Mailing address
2403 Folsom St
Eau Claire, WI 54703-2435
Phone (715) 552-9784
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090225000137 | WI | Practitioner - Nurse Practitioner | 6204991391 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Oakleaf Clinics IncBlack River Health Inc
Practice addresses (Care Compare)
2900 S Wisconsin Ave
Rice Lake, WI 54868-8578
Phone (715) 997-3915
2919 Stout Rd
Menomonie, WI 54751-2313
Phone (715) 309-4451
3213 Stein Blvd
Eau Claire, WI 54701-6946
Phone (715) 836-9242
3802 Oakwood Mall Dr
Eau Claire, WI 54701-3016
Phone (715) 839-9280
711 W Adams St
Black River Falls, WI 54615-5052
Phone (715) 284-5361
711 W Adams St
Black River Falls, WI 54615-9108
724 Rose St
Black River Falls, WI 54615-9278
855 Lakeland Dr
Chippewa Falls, WI 54729-1687
Phone (715) 726-9248
Hospital & facility affiliations
- Black River Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.18 of 100
- Quality
- 87.29
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 65.34
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3584 | WI | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Black River Health Inc | Current | Accepting new patients | |
| Krohn Clinic LTD. | Current | Accepting new patients | |
| Black River Health Inc | Current | Accepting new patients | |
| Gundersen Clinic LTD | Past | Accepting new patients |
Locations
610 W Adams St
Blk River Fls, WI 54615
Phone (715) 284-4311
711 W Adams St
Blk River Fls, WI 54615
Phone (715) 284-1302
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BHJBDA
- katherine.goodenough@kcld.eclinicaldirectplus.com
Organizations & group practices 8
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.
-
- Oxygen Equipment & Supplies (DME)
- Black River Falls, WI
- NPI 1285782250
-
- Medicare Defined Swing Bed Hospital Unit
- Black River Falls, WI
- NPI 1003914011
-
- Rural Health Clinic/Center
- Black River Falls, WI
- NPI 1255183182
-
- Rural Health Clinic/Center
- Black River Falls, WI
- NPI 1568196764
-
- Clinic/Center
- La Crosse, WI
- NPI 1851343115
Hospital & facility affiliations 1
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": "1228953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777248000000",
"number": "1982849535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2403 FOLSOM ST",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547032435",
"telephone_number": "715-552-9784",
"fax_number": "715-835-6370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3802 OAKWOOD MALL DR",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547013016",
"telephone_number": "715-839-9280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODENOUGH",
"first_name": "KATHERINE",
"middle_name": "MARY",
"credential": "APNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-11",
"last_updated": "2026-04-27",
"certification_date": "2026-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WI",
"license": "3584",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eau Claire, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.