Mary Ann Wooten, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-137581 Issued in AL

Practice address

511 Al-59
Summerdale, AL 36580

Phone

(251) 989-9400

NPI assigned

Feb 23, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Gulf Family Medical LLC

  • Primary Care Clinic/Center
  • Summerdale, AL
  • NPI 1285374470
  NPD
• Gulf Coast Pain Consultants LLC

  • Interventional Pain Medicine Physician
  • Pensacola, FL
  • NPI 1669712287
  NPD (past)
• Health and Hope Clinic, Inc.

  • Primary Care Clinic/Center
  • Pensacola, FL
  • NPI 1538318837
  NPD (past)

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

{
    "created_epoch": "1614038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1316531023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1718 E OLIVE RD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325147553",
            "telephone_number": "850-479-4456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 AL-59",
            "city": "SUMMERDALE",
            "state": "AL",
            "postal_code": "36580",
            "telephone_number": "251-989-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOTEN",
        "first_name": "MARY",
        "middle_name": "ANN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-23",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-137581",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11011171",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Summerdale Family Medicine, PC
• Shannon Swiderski, MSN, CRNP, FNP-C
• Jacqueline Claire Thomas
• Jerry Wayne Wainwright, LPN
• Kelley Wilson, PH.D.

• Family Nurse Practitioner in Summerdale, AL
• Providers in Summerdale, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.