Individual provider Active NPI

Michele Woodward, FNP-C

  • Family Nurse Practitioner
  • Salem, IN
National Provider Identifier
1124687611
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71009371A Issued in IN
Practice address
1002 N Shelby St Ste 1000
Salem, IN 47167-2307
Phone
(812) 883-3627
NPI assigned
Jun 10, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71009371A IN Primary

Addresses

Primary practice location

1002 N Shelby St Ste 1000
Salem, IN 47167-2307

Mailing address

1002 N Shelby St Ste 1000
Salem, IN 47167-2307

Other identifiers 1

IdentifierTypeStateIssuer
1124687611OtherFNP

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address michele.woodward.1@7598.direct.athenahealth.com St. Vincent Medical Group, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20190926001300 IN Practitioner - Nurse Practitioner 3072843580 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Vincent Medical Group IncGroup PAC ID 7012047640, 728 clinicians

Practice addresses (Care Compare)

1002 N Shelby St
Suite 1000
Salem, IN 47167-2307
Phone (812) 883-3627

Hospital & facility affiliations

  • Ascension St Vincent Salem Hospital, Salem, IN, CCN 151314

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
71009371AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc Nurse Practitioner CurrentSince Nov 1, 2019 Accepting new patients
Baptist Health Medical Group Inc Nurse Practitioner Current Accepting new patients
Sellersburg Internal Medicine & Pediatrics CurrentSince Apr 2, 2021 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Nov 1, 2019 Accepting new patients
St Vincent Medical Group Inc Past Accepting new patients

Locations

1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196

130 Hunter Station Way
Ste 202
Sellersburg, IN 47172
Phone (812) 248-0800

2700 Stanley Gault Pkwy
Ste 129
Louisville, KY 40223
Phone (502) 253-4900

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2852/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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": "1560124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1124687611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 N SHELBY ST STE 1000",
            "city": "SALEM",
            "state": "IN",
            "postal_code": "471672307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 N SHELBY ST STE 1000",
            "city": "SALEM",
            "state": "IN",
            "postal_code": "471672307",
            "telephone_number": "812-883-3627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODWARD",
        "first_name": "MICHELE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-10",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71009371A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FNP",
            "identifier": "1124687611",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michele.woodward.1@7598.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "St. Vincent Medical Group, Inc.",
            "address_1": "1002 N Shelby St Ste 1000",
            "city": "Salem",
            "state": "IN",
            "country_code": "US",
            "postal_code": "471672307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Salem, IN

Sources for this page

Verify at the official NPI Registry.