Individual provider Active NPI

Matthew Joseph Woods, APRN, CNP

  • Nurse Practitioner
  • Sartell, MN
National Provider Identifier
1306621792
Registry record updated Aug 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
10598 Issued in MN
Practice address
1990 Connecticut Ave S
Sartell, MN 56377-2554
Phone
(320) 257-8346
NPI assigned
Aug 25, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 10598 MN Primary

Addresses

Primary practice location

1990 Connecticut Ave S
Sartell, MN 56377-2554

Mailing address

1004 Celebration Cir
Sartell, MN 56377-4547
Phone (612) 770-5617

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20231020000958 MN Practitioner - Nurse Practitioner 9133575517 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Diagnostic RadiologyGroup PAC ID 8820901564, 38 clinicians

Practice addresses (Care Compare)

1990 Connecticut Ave S
Sartell, MN 56377-2554
Phone (320) 257-7787

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10598MNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Diagnostic Radiology CurrentSince Aug 9, 2023 Accepting new patients
Central Imaging LLC CurrentSince Aug 9, 2023 Accepting new patients

Locations

3351 Roosevelt Rd
Saint Cloud, MN 56301
Phone (320) 255-6530

1990 Connecticut Ave S
Ste 100
Sartell, MN 56377
Phone (202) 575-5953

1990 Connecticut Ave S
Sartell, MN 56377
Phone (320) 257-5595

Interoperability endpoints

  • Direct secure messaging: mwoods757237@direct.centracare.com

Organizations & group practices 2

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 6

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": "1692921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1306621792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 CELEBRATION CIR",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563774547",
            "telephone_number": "612-770-5617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 CONNECTICUT AVE S",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563772554",
            "telephone_number": "320-257-8346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODS",
        "first_name": "MATTHEW",
        "middle_name": "JOSEPH",
        "credential": "APRN, CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-25",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "10598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sartell, MN

Sources for this page

Verify at the official NPI Registry.