Lashelle Jean Goode, ARNP

Individual provider Active NPI Family Nurse Practitioner · Ames, IA

NPI 1992573786 · NPPES record last updated Dec 29, 2023

Key facts

NPI
1992573786
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
A176132 (IA)
Practice address
3510 Lincoln Way
Ames, IA 50014-8533
Phone
(515) 232-0628
NPI assigned
Dec 12, 2023
Sex
Female
Sole proprietor
No

Organizations & group practices 13

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.

Hospital & facility affiliations 1

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

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Health Care Inc (72 clinicians)

Practice addresses (Care Compare)

2353 SE 14TH St
Des Moines, IA 50320-1109
Phone (515) 248-1400

Hospital & facility affiliations

  • Mary Greeley Medical Center Hospital · Ames, IA · CCN 160030

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20240103002520 IA Practitioner - Nurse Practitioner 8426408493 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Health Care, Inc. Current
since Jan 8, 2024
Accepting new patients
Primary Health Care, Inc. Current
since Jan 8, 2024
Accepting new patients
Primary Health Care, Inc. Past Accepting new patients

Locations

3510 Lincoln Way
Ames, IA 50014
Phone (515) 232-0626

1200 University Ave
Ste 200
Des Moines, IA 50314
Phone (515) 248-1447

2353 SE 14th St
Des Moines, IA 50320
Phone (515) 248-1400

Interoperability endpoints

  • Direct secure messaging: lgoode683068@direct.ochin.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A176132 IA Yes

Addresses

Primary practice location

3510 Lincoln Way
Ames, IA 50014-8533

Mailing address

1200 University Ave Ste 200
Des Moines, IA 50314-2355
Phone (515) 248-1447

Other names

  • Lashelle Jean Peterson Former name

Other providers in Ames, IA

All providers in Ames, IA · Family Nurse Practitioner in Iowa

Sources for this page

Verify at the official NPI Registry.