NPIMap

Individual provider Active NPI

Dennis Scott Wooley, ARNP

  • Nurse Practitioner
  • Columbia, KY
National Provider Identifier
1184628075
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3004132 Issued in KY
Practice address
902 Westlake Dr Ste 101
Columbia, KY 42728-1149
Phone
(270) 384-0451
Fax
(270) 384-0454
NPI assigned
Jun 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3004132 KY
Nurse Practitioner 363L00000X 3004132 KY Primary

Addresses

Primary practice location

902 Westlake Dr Ste 101
Columbia, KY 42728-1149

Mailing address

902 Westlake Dr Ste 101
Columbia, KY 42728-1149
Phone (270) 384-0451

Other identifiers 1

IdentifierTypeStateIssuer
78010741MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040211000296 KY Practitioner - Nurse Practitioner 9335033349 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Physician Services PCGroup PAC ID 0042307852, 591 clinicians
T J Health Columbia IncGroup PAC ID 7113224783, shared by 10 NPIs, 43 clinicians

Practice addresses (Care Compare)

901 Wellness Way
Columbia, KY 42728-1123
Phone (270) 651-4471

902 Wellness Way
Columbia, KY 42728-1149
Phone (270) 384-0451

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3004132KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
T J Health Columbia Inc CurrentSince Oct 1, 2022 Accepting new patients
T J Health Columbia Inc Current Accepting new patients
T J Health Columbia Inc CurrentSince Aug 1, 2017 Accepting new patients
T J Health Columbia Inc Family CurrentSince Aug 1, 2017 Accepting new patients
T J Health Columbia Inc Current Accepting new patients
T J Health Columbia Inc Current Accepting new patients
Southeastern Emergency Services P C Nurse Practitioner CurrentSince Feb 19, 2014 Accepting new patients
T J Health Columbia Inc Current Accepting new patients
Southeastern Physician Services PC Nurse Practitioner CurrentSince Mar 1, 2022 Accepting new patients

Locations

1700 Old Lebanon Rd
Campbellsvlle, KY 42718
Phone (270) 465-3561

902 Wellness Way
Columbia, KY 42728
Phone (270) 384-0451

901 Wellness Way
Columbia, KY 42728
Phone (270) 384-4753

1301 N Race St
Glasgow, KY 42141
Phone (270) 651-4141

310 N L Rogers Wells Blvd
Glasgow, KY 42141
Phone (270) 651-1111

310 S Limestone
Lexington, KY 40508
Phone (606) 252-6612

150 N Eagle Creek Dr
Lexington, KY 40509
Phone (859) 267-9773

360 Amsden Ave
Versailles, KY 40383
Phone (606) 873-3111

Organizations & group practices 9

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 7

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": "1118188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1184628075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 WESTLAKE DR STE 101",
            "city": "COLUMBIA",
            "state": "KY",
            "postal_code": "427281149",
            "telephone_number": "270-384-0451",
            "fax_number": "270-384-0454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 WESTLAKE DR STE 101",
            "city": "COLUMBIA",
            "state": "KY",
            "postal_code": "427281149",
            "telephone_number": "270-384-0451",
            "fax_number": "270-384-0454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOLEY",
        "first_name": "DENNIS",
        "middle_name": "SCOTT",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-08",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3004132",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3004132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78010741",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, KY

Sources for this page

Verify at the official NPI Registry.