HANNAH E RUSSELL-GOODSON, RN, CNM, WHNP-BC — NPI 1528732963 (Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Midwife, Certified Nurse in ROSEVILLE, CA)

CMS-1500 Box 24J / 33a • NPI

1528732963

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

367A00000X (CMS 42)

Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Midwife, Certified Nurse

Box 32 Service Location & ZIP+4

1660 EUREKA RD, ROSEVILLE, CA, 95661-3027

✓ 9-Digit EDI 837 ZIP+4 (95661-3027)

Practice Phone & Referral Fax

(937) 477-2653

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1528732963 (HANNAH E RUSSELL-GOODSON, RN, CNM, WHNP-BC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1528732963` (NPI-1 Individual Practitioner)
Provider / Legal Name	HANNAH E RUSSELL-GOODSON, RN, CNM, WHNP-BC
Plain-English Specialty	Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Midwife, Certified Nurse NUCC Code: `367A00000X` (Advanced Practice Midwife)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	1660 EUREKA RD, ROSEVILLE, CA, 95661-3027
Practice Telephone / Fax	Tel: (937) 477-2653
Administrative Mailing Address	3810 W STATE HIGHWAY 20, UPPER LAKE, CA, 95485-9511
Enumeration & Last Sync	Enumerated: 2021-08-08 \| CMS Record Updated: 2022-02-03

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1660 EUREKA RD, ROSEVILLE, CA, 95661-3027

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Plain-English Taxonomy & CMS Crosswalk (367A00000X)

What Does Taxonomy Code 367A00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 367A00000X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Midwife, Certified Nurse"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 42 (Certified Nurse Midwife)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Advanced Practice Midwife for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (HANNAH E RUSSELL-GOODSON, RN, CNM, WHNP-BC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`163W00000X` — Registered Nurse Plain English: Licensed & Credentialed Registered Nurse	State: CA \| License: `95202204` \| Primary: Secondary
`367A00000X` — Advanced Practice Midwife Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Midwife, Certified Nurse	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

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HANNAH E RUSSELL-GOODSON, RN, CNM, WHNP-BC (NPI #1528732963)