Active NPI
Maci Woodson, MSN, FNP-BC
- Family Nurse Practitioner
- Sherman Oaks, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95029202
- Practice address
- 15477 Ventura Blvd Ste 100
Sherman Oaks, CA 91403-3046 - Phone
- (818) 906-6900
- Fax
- (818) 906-6900
- NPI assigned
- Jan 25, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95029202 | CA | Primary |
Addresses
Primary practice location
15477 Ventura Blvd Ste 100
Sherman Oaks, CA 91403-3046
Mailing address
15477 Ventura Blvd Ste 100
Sherman Oaks, CA 91403-3046
Phone (818) 906-6900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1165 N Euclid St
Anaheim, CA 92801-1938
Phone (714) 991-9990
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95029202 | CA | MD | Psychiatric/Mental Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Dermatology Group PA | Current | Accepting new patients | |
| Vascular Associates LLC | Past | Accepting new patients |
Locations
2505 Harrison Ave
Panama City, FL 32405
Phone 85023333762619
12907 Panama City Beach Pkwy
Panama City Beach, FL 32407
82 Mack Bayou Loop
Santa Rsa Bch, FL 32459
Phone (850) 622-0600
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- maci.woodson.1@28334.direct.athenahealth.com
Organizations & group practices 3
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.
-
- MOHS-Micrographic Surgery Physician
- San Pedro, CA
- NPI 1871909804
-
- Dermatology Physician
- Panama City, FL
- NPI 1518972231
-
- Specialist
- Panama City, FL
- NPI 1821129313
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763596800000",
"number": "1174385108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15477 VENTURA BLVD STE 100",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914033046",
"telephone_number": "818-906-6900",
"fax_number": "818-906-6900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15477 VENTURA BLVD STE 100",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914033046",
"telephone_number": "818-906-6900",
"fax_number": "818-906-6900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODSON",
"first_name": "MACI",
"credential": "MSN, FNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-01-25",
"last_updated": "2025-11-20",
"certification_date": "2025-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95029202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sherman Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.