Mary Goodspeed, PMHNP - Medicare Nurse Practitioner in Boise, ID

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Mary Goodspeed, PMHNP is a medicare enrolled "Nurse Practitioner" in Boise, Idaho. She went to University Of South Alabama College Of Medicine and graduated in 2021 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Community Health Clinics Inc and her current practice location is 300 S 23rd St, Boise, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 344-3512.

Mary Goodspeed is licensed to practice in Idaho (license number 72002) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1053069047.

Contact Information

Mary Goodspeed, PMHNP
300 S 23rd St,
Boise, ID 83702-9100
(208) 344-3512
(208) 466-5359

Map and Direction




Provider's Profile

Full NameMary Goodspeed
GenderFemale
SpecialityNurse Practitioner
Experience4 Years
Location300 S 23rd St, Boise, Idaho
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mary Goodspeed attended and graduated from University Of South Alabama College Of Medicine in 2021
  NPI Data:
  • NPI Number: 1053069047
  • Provider Enumeration Date: 03/17/2022
  • Last Update Date: 11/27/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5799164117
  • Enrollment ID: I20220615001416

Medical Identifiers

Medical identifiers for Mary Goodspeed such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053069047NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 72002 (Idaho)Secondary
363L00000XNurse Practitioner 72002 (Idaho)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Community Health Clinics Inc408252735369

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mary Goodspeed allows following entities to bill medicare on her behalf.
Entity NameCommunity Health Clinics Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457309122
PECOS PAC ID: 4082527353
Enrollment ID: O20040130000055

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mary Goodspeed is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mary Goodspeed, PMHNP
Po Box 9,
Nampa, ID 83653-0009

Ph: (208) 467-4431		Mary Goodspeed, PMHNP
300 S 23rd St,
Boise, ID 83702-9100

Ph: (208) 344-3512

Reviews and Comments


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Jennifer Woodburn,
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.