IndividualActive
Susan Goodemote, RN
NPI 1912416124 · Family Nurse Practitioner · Mountain Lake, MN
Provider details
- NPI number
- 1912416124
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- License
- 173042 (MN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
308 8th St N
Mountain Lake, MN 56159-1568
Phone: (507) 427-3332
Street-level locationGet directions
Mailing address
Po Box 5074
Sioux Falls, SD 57117-5074
Additional practice locations (2)
- 13923 290th AveSleepy Eye, MN 56085-5016Phone: (507) 227-5958
- 591 2nd Ave NWindom, MN 56101-1927Phone: (507) 831-2223Fax: (507) 831-0135
Registry dates
- Enumerated
- 2017-09-20
- Last updated
- 2024-01-16
- Certified
- 2024-01-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.