Individual provider Active NPI

Jacqueline Anne Woodrum, DO

  • Family Medicine Physician
  • Parker, CO
National Provider Identifier
1285642199
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
36233 Issued in CO
Practice address
15735 Carob Cir
Parker, CO 80134-4404
Phone
(785) 294-2765
NPI assigned
Aug 4, 2006
Last updated
Apr 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 36233 CO Primary

Addresses

Primary practice location

15735 Carob Cir
Parker, CO 80134-4404

Mailing address

15735 Carob Cir
Parker, CO 80134-4404
Phone (785) 336-0144

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, HI, MO, WI, TX, NE, IA7 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 7

Enrollment IDStateProvider typePAC IDDetails
I20110610000475 CO Practitioner - Family Practice 7012801426 Reassigns benefits to 1 organization
I20150604002736 HI Practitioner - Family Practice 7012801426 Reassigns benefits to 1 organization
I20151222001376 MO Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 7012801426 Reassigns benefits to 1 organization
I20170523002735 WI Practitioner - Family Practice 7012801426 Reassigns benefits to 1 organization
I20170607002008 TX Practitioner - Family Practice 7012801426 Reassigns benefits to 1 organization
I20220817003239 NE Practitioner - Family Practice 7012801426 Reassigns benefits to 1 organization
I20230530001515 IA Practitioner - Family Practice 7012801426 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
36233COMDFamily Medicine Physician
2700NEMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Avera Holy Family CurrentSince Jun 12, 2023 Accepting new patients
Avera Holy Family Current Accepting new patients
Straub Clinic & Hospital CurrentSince Apr 14, 2015 Accepting new patients
Choctaw Nation of Oklahoma CurrentSince Apr 19, 2017 Accepting new patients
Straub Clinic & Hospital CurrentSince Apr 14, 2015 Accepting new patients
St. Vincent General Hospital District CurrentSince Nov 11, 2023 Accepting new patients
St. Vincent General Hospital District Current Accepting new patients
Avera Holy Family Current Accepting new patients
Carespot Professional Services LLC CurrentSince Aug 4, 2015 Accepting new patients
Mercy Health System Corporation CurrentSince Nov 28, 2017 Accepting new patients
Choctaw Nation of Oklahoma Current Accepting new patients
Mercy Health System Corporation CurrentSince Nov 28, 2017 Accepting new patients
Archwell Health Professional Services, P.a. CurrentSince Oct 1, 2024 Accepting new patients
Choctaw Nation of Oklahoma CurrentSince Apr 19, 2017 Accepting new patients
General John J Pershing Memorial Hospital Association CurrentSince Jun 1, 2020 Accepting new patients
Community Memorial Healthcare, Inc Past Accepting new patients
Community Memorial Healthcare, Inc. Past Accepting new patients
Boulder Community Health Past Accepting new patients
Boulder Community Health PastSince Feb 1, 2011 Accepting new patients
Jacqueline Woodrum, DO,PC Family Medicine PastSince Sep 1, 1999 Accepting new patients

Locations

816 W 4th St
Leadville, CO 80461
Phone (719) 221-0660

1946 Young St
Ste 320
Honolulu, HI 96826

888 S King St
Honolulu, HI 96813
Phone (808) 522-4000

95-1249 Meheula Pkwy
Ste 187
Mililani, HI 96789
Phone (808) 282-6362

926 N 8th St
Estherville, IA 51334
Phone (712) 362-3501

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

1215 NE Coronado Dr
Blue Springs, MO 64014
Phone (816) 622-3342

130 E Lockling St
Brookfield, MO 64628
Phone (660) 258-1050

13551 Madison Ave
Kansas City, MO 64145
Phone (816) 256-3095

101 E Hayward St
Meadville, MO 64659
Phone (660) 938-4213

2816 Ames Ave
Omaha, NE 68111
Phone (531) 895-7801

5401 N 90th St
Omaha, NE 68134
Phone (531) 895-7902

1585 W Liberty Rd
Atoka, OK 74525
Phone (580) 889-1981

1300 E Martin Luther King Dr
Broken Bow, OK 74728
Phone (580) 208-2204

410 N M St
Hugo, OK 74743
Phone (580) 326-7561

902 E Lincoln Rd
Idabel, OK 74745
Phone (580) 286-2600

1127 S George Nigh Expy
McAlester, OK 74501
Phone (918) 423-8400

109 Kerr Blvd
Poteau, OK 74953
Phone (918) 649-1100

2204 E Main St
Stigler, OK 74462
Phone (918) 967-9200

1 Choctaw Way
Talihina, OK 74571
Phone (918) 423-8440

205 Dallas St
Talihina, OK 74571
Phone (918) 567-3636

1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868

3524 E Milwaukee St
Janesville, WI 53546
Phone (608) 756-7100

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/cmhinc-a449abfd
  • FHIR API: https://fhir4.healow.com/fhir/r4/FEHCCD

Organizations & group practices 20

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1285642199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15735 CAROB CIR",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801344404",
            "telephone_number": "785-336-0144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15735 CAROB CIR",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801344404",
            "telephone_number": "785-294-2765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODRUM",
        "first_name": "JACQUELINE",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "36233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

Verify at the official NPI Registry.