Individual provider Active NPI

Kelly Rhea Woodford, FNP-BC

  • Nurse Practitioner
  • Joplin, MO
National Provider Identifier
1447505862
Registry record updated Sep 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2018043161 Issued in MO
Practice address
3415 McIntosh Cir
Joplin, MO 64804-3651
Phone
(417) 347-4000
Fax
(417) 347-4064
NPI assigned
Jul 23, 2012
Last updated
Sep 6, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2019

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 2018043161 MO Primary

Addresses

Primary practice location

3415 McIntosh Cir
Joplin, MO 64804-3651

Mailing address

PO Box 3810
Joplin, MO 64803-3810
Phone (417) 347-4662

Other practice location 1

1102 W 32nd St
Joplin, MO 64804-3503
Phone (417) 347-1111

Other names 1

  • Kelly Jane Rhea Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 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

Enrollment IDStateProvider typePAC IDDetails
I20050719000634 MO Practitioner - Nurse Practitioner 5890722128 Reassigns benefits to 2 organizations
I20211203001538 KS Practitioner - Nurse Practitioner 5890722128 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Kansas School of Med (KC/Wich/Sal), 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Freeman-Oak Hill Health SystemGroup PAC ID 8325942253, 385 clinicians

Practice addresses (Care Compare)

1201 E Centennial Dr
Pittsburg, KS 66762-6623
Phone (620) 231-3132

3415 McIntosh Cir
Joplin, MO 64804-3651
Phone (417) 347-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.37 of 100Reported as group
Quality
60.15
Promoting interoperability
100
Improvement activities
40
Cost
77.74

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Hospices of America, LLC Family CurrentSince Aug 8, 2022 Accepting new patients
Community Hospices of America, LLC Current Accepting new patients
Freeman-Oak Hill Health System CurrentSince Sep 27, 2019 Accepting new patients
Community Hospices of America LLC Family CurrentSince Aug 8, 2022 Accepting new patients
Freeman-Oak Hill Health System Past Accepting new patients
Gunnison Valley Health Senior Care Center Past Accepting new patients
Gunnison Valley Health Senior Care Center Past Accepting new patients

Locations

100 N Pine St
Pittsburg, KS 66762
Phone (620) 231-3750

1201 E Centennial Dr
Pittsburg, KS 66762
Phone (620) 231-0204

1102 W 32nd St
Joplin, MO 64804
Phone (417) 347-1078

3415 McIntosh Cir
Joplin, MO 64804
Phone (417) 347-4000

307 W 11th St
Lamar, MO 64759
Phone (417) 682-3300

707 E Briggs Dr
#B
Macon, MO 63552
Phone (660) 385-4400

230 Business Highway 13
Ste 2
Osceola, MO 64776
Phone (417) 283-3244

10 Cadillac Dr
Ste 400
Brentwood, TN 37027
Phone (615) 637-9163

Organizations & group practices 7

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.

Hospital & facility affiliations 4

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": "1343001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567728000000",
    "number": "1447505862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3810",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648033810",
            "telephone_number": "417-347-4662",
            "fax_number": "417-347-9453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3415 MCINTOSH CIR",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648043651",
            "telephone_number": "417-347-4000",
            "fax_number": "417-347-4064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1102 W 32nd St",
            "address_purpose": "LOCATION",
            "city": "Joplin",
            "state": "MO",
            "postal_code": "648043503",
            "country_code": "US",
            "telephone_number": "417-347-1111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOODFORD",
        "first_name": "KELLY",
        "middle_name": "RHEA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-23",
        "last_updated": "2019-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2018043161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "RHEA",
            "middle_name": "JANE",
            "credential": "FNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Joplin, MO

Sources for this page

Verify at the official NPI Registry.