Mary Angela Wood, ANP-BC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

SP010321 Issued in PA

Practice address

1601 Kirkwood Hwy
Wilmington, DE 19805-4917

Phone

(610) 299-5209

NPI assigned

Oct 3, 2006

Last updated

Jul 12, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Mary Bucci Wood Other name

Medicare fee-for-service enrollment

Enrolled in PA, DE2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

On Site Dermatology of Pennsylvania PLLCGroup PAC ID 8921234352, 13 clinicians

On Site Dermatology LLCGroup PAC ID 5991736837, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• On Site Dermatology LLC

  • Dermatology Physician
  • Boca Raton, FL
  • NPI 1215978713

  DE

  Medicare reassignment Care Compare group NPD
• On Site Dermatology of Pennsylvania PLLC

  • Dermatology Physician
  • Lower Gwynedd, PA
  • NPI 1114369873
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1396830899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 W. HUNTER CREEK LANE",
            "city": "WEST GROVE",
            "state": "PA",
            "postal_code": "19390",
            "telephone_number": "610-869-8435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 KIRKWOOD HWY",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198054917",
            "telephone_number": "610-299-5209"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "728 Norristown Rd # A",
            "address_purpose": "LOCATION",
            "city": "Lower Gwynedd",
            "state": "PA",
            "postal_code": "190022125",
            "country_code": "US",
            "telephone_number": "877-345-5300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOOD",
        "first_name": "MARY",
        "middle_name": "ANGELA",
        "credential": "ANP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP010321",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP010321",
            "primary": true
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "PA",
            "license": "RN287668L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "WOOD",
            "middle_name": "BUCCI",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Joyce Xiao Jing Wong
• Timothy Wong, M.D.
• Chee Houe Woo, MD
• Dave Sherwin Wong Woo
• Letitia Youngblood Wood
• Meggan Wood
• Adrienne Woodard, SPP
• Joanne E Woodbridge, MD
• Michele L. Woodbridge, PT
• Woodmill Dental LLC

• Adult Health Nurse Practitioner in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Adult Health Nurse Practitioner in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.