Individual provider Active NPI

Shea Leigh Woods, FNP

  • Family Nurse Practitioner
  • Corsicana, TX
National Provider Identifier
1376187252
Registry record updated Sep 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP143729 Issued in TX
Practice address
3200 W State Highway 22
Corsicana, TX 75110-2449
Phone
(903) 875-2188
NPI assigned
Nov 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP143729 TX Primary

Addresses

Primary practice location

3200 W State Highway 22
Corsicana, TX 75110-2449

Mailing address

3200 W State Highway 22
Corsicana, TX 75110-2449
Phone (903) 875-2188

Other practice location 1

320 Clubhouse Dr
Corsicana, TX 75109-9652
Phone (903) 229-7712

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20191126002628 TX Practitioner - Nurse Practitioner 2466885744 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wound Management Specialists LLCGroup PAC ID 5193056364, 157 clinicians

Practice addresses (Care Compare)

1600 S Henderson Blvd
Kilgore, TX 75662-3518
Phone (903) 758-1818

Hospital & facility affiliations

  • White Rock Medical Center Hospital, Dallas, TX, CCN 450678
  • Navarro Regional Hospital Hospital, Corsicana, TX, CCN 450447

Merit-based Incentive Payment System (MIPS)

Final score
90.94 of 100Reported as group
Quality
82.79
Improvement activities
40
Cost
76.18

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
DCS Medical PA CurrentSince Jul 15, 2021 Accepting new patients
DCS Medical PA CurrentSince Jul 15, 2021 Accepting new patients
Navarro Emergency Physicians PLLC CurrentSince Sep 11, 2021 Accepting new patients
Wound Management Specialists, LLC CurrentSince Oct 1, 2023 Accepting new patients

Locations

778 Liberty Rd
Flowood, MS 39232
Phone (601) 914-9620

434 Katherine Dr
Flowood, MS 39232
Phone (769) 216-3346

3201 University Dr E
Ste 135
Bryan, TX 77802
Phone (979) 703-1832

3201 W State Highway 22
Corsicana, TX 75110
Phone (903) 654-6800

1600 S Henderson Blvd
Kilgore, TX 75662
Phone (903) 215-3149

515 N 3rd St
Longview, TX 75601
Phone (903) 215-3149

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

Organizations & group practices 4

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 3

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": "1572825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630972800000",
    "number": "1376187252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 W STATE HIGHWAY 22",
            "city": "CORSICANA",
            "state": "TX",
            "postal_code": "751102449",
            "telephone_number": "903-875-2188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 W STATE HIGHWAY 22",
            "city": "CORSICANA",
            "state": "TX",
            "postal_code": "751102449",
            "telephone_number": "903-875-2188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 Clubhouse Dr",
            "address_purpose": "LOCATION",
            "city": "Corsicana",
            "state": "TX",
            "postal_code": "751099652",
            "country_code": "US",
            "telephone_number": "903-229-7712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOODS",
        "first_name": "SHEA",
        "middle_name": "LEIGH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-04",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP143729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corsicana, TX

Sources for this page

Verify at the official NPI Registry.