Individual provider Active NPI

Tabitha Woods, FNP-C

  • Family Nurse Practitioner
  • Wasilla, AK
National Provider Identifier
1467132340
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F06230854 Issued in AK
Practice address
950 E Bogard Rd Ste 103
Wasilla, AK 99654-7184
Phone
(907) 352-2880
NPI assigned
Jul 24, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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 F06230854 AK Primary

Addresses

Primary practice location

950 E Bogard Rd Ste 103
Wasilla, AK 99654-7184

Mailing address

8826 E Wolf Creek Rd
Wasilla, AK 99654-9412
Phone (952) 220-8087

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tabitha.woods.1@2839.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
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
I20231016001413 AK Practitioner - Nurse Practitioner 4385099019 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mat-Su Valley III LLCGroup PAC ID 5496941502, 26 clinicians
Mat Su Valley Medical Center LLCGroup PAC ID 5698686475, 23 clinicians

Practice addresses (Care Compare)

209 W Evergreen Ave
Suite B
Palmer, AK 99645-6952
Phone (907) 861-1400

950 E Bogard Rd
Wasilla, AK 99654-7184
Phone (907) 352-2880

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.18 of 100Reported as apm
Quality
71.02
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
88.18 of 100Reported as apm
Quality
71.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F06230854AKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mat-Su Valley III LLC Family CurrentSince Oct 1, 2023 Accepting new patients
Mat-Su Valley Medical Center LLC CurrentSince Oct 1, 2023 Accepting new patients
Mat Su Valley Medical Center LLC CurrentSince Oct 1, 2023 Accepting new patients
Mat-Su Valley III LLC CurrentSince Oct 1, 2023 Accepting new patients

Locations

209 W Evergreen Ave
Ste B
Palmer, AK 99645
Phone (907) 861-1400

950 E Bogard Rd
Ste 207
Wasilla, AK 99654
Phone (907) 357-9444

950 E Bogard Rd
Ste 103
Wasilla, AK 99654
Phone (907) 352-2880

950 E Bogard Rd
Wasilla, AK 99654
Phone (907) 352-2880

Interoperability endpoints

  • Direct secure messaging: tabitha.woods.2@2839.direct.athenahealth.com
  • Direct secure messaging: tabitha.woods.1@2839.direct.athenahealth.com

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 1

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": "1690156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1467132340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8826 E WOLF CREEK RD",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996549412",
            "telephone_number": "952-220-8087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 E BOGARD RD STE 103",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547184",
            "telephone_number": "907-352-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODS",
        "first_name": "TABITHA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "F06230854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tabitha.woods.1@2839.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "address_1": "950 E Bogard Rd Ste 103",
            "city": "Wasilla",
            "state": "AK",
            "country_code": "US",
            "postal_code": "996547184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wasilla, AK

Sources for this page

Verify at the official NPI Registry.