Individual provider Active NPI

Nicole Woods, PA-C

  • Physician Assistant
  • Middleburg Heights, OH
National Provider Identifier
1114587011
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
7255 Old Oak Blvd BLDG C Suite 405
Middleburg Heights, OH 44130-3331
Phone
(440) 816-5380
NPI assigned
Jun 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

7255 Old Oak Blvd BLDG C Suite 405
Middleburg Heights, OH 44130-3331

Mailing address

7255 Old Oak Blvd BLDG C Suite 405
Middleburg Heights, OH 44130
Phone (440) 816-5830

Other names 1

  • Nicole Newman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191009002870 OH Practitioner - Physician Assistant 5193056935 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthowest LTDGroup PAC ID 6901850247, 5 clinicians

Practice addresses (Care Compare)

7255 Old Oak Blvd
C405
Cleveland, OH 44130-3331

Hospital & facility affiliations

  • Southwest General Health Center Hospital, Middleburg Heights, OH, CCN 360155

Merit-based Incentive Payment System (MIPS)

Final score
94.07 of 100Reported as group
Quality
100
Improvement activities
40
Cost
80.24

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1560384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1114587011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7255 OLD OAK BLVD BLDG C SUITE 405",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "44130",
            "telephone_number": "440-816-5830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7255 OLD OAK BLVD BLDG C SUITE 405",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441303331",
            "telephone_number": "440-816-5380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODS",
        "first_name": "NICOLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-13",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "NEWMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Middleburg Heights, OH

Sources for this page

Verify at the official NPI Registry.