Individual provider Active NPI

Jessica L Wood, DNP, WHNP-BC

  • Women's Health Nurse Practitioner
  • Providence, RI
National Provider Identifier
1467974873
Registry record updated Aug 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
APRN02215 Issued in RI
Practice address
101 Dudley Street
Wih Triage/LDR
Providence, RI 02905-2401
Phone
(401) 274-1122
NPI assigned
Jul 7, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X APRN02215 RI Primary
Women's Health Nurse Practitioner 363LW0102X 101.0130398 VT

Addresses

Primary practice location

101 Dudley Street
Wih Triage/LDR
Providence, RI 02905-2401

Mailing address

455 Tollgate Rd
Professional Revenue Cycle & Credentialing
Warwick, RI 02886-2759
Phone (401) 273-0641

Other practice location 1

79 S Main St
White River Junction, VT 05001-7071
Phone (802) 281-6056

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT, NH, RI, ME4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20170926000908 VT Practitioner - Nurse Practitioner 2365716644
I20171115002757 NH Practitioner - Nurse Practitioner 2365716644 Reassigns benefits to 1 organization
I20200309000951 RI Practitioner - Nurse Practitioner 2365716644 Reassigns benefits to 1 organization
I20210713002605 ME Practitioner - Nurse Practitioner 2365716644 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Duke University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Affinity Physicians LLC.Group PAC ID 0244413391, 723 clinicians

Practice addresses (Care Compare)

455 Toll Gate Rd
Warwick, RI 02886-2759
Phone (401) 737-7010

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN02215RIMDWomen's Health Nurse Practitioner
101.0130398VTMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood of Northern New England Past Accepting new patients
Planned Parenthood of Northern New England PastSince Aug 2, 2017 Accepting new patients
Planned Parenthood of Northern New England PastSince Jul 6, 2021 Accepting new patients
Planned Parenthood of Northern New England PastSince Aug 2, 2017 Accepting new patients
Planned Parenthood of Northern New England PastSince Oct 2, 2017 Accepting new patients

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 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": "1499385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659657600000",
    "number": "1467974873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 TOLLGATE RD",
            "address_2": "PROFESSIONAL REVENUE CYCLE & CREDENTIALING",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028862759",
            "telephone_number": "401-273-0641",
            "fax_number": "401-273-2919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 DUDLEY STREET",
            "address_2": "WIH TRIAGE/LDR",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029052401",
            "telephone_number": "401-274-1122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "79 S Main St",
            "address_purpose": "LOCATION",
            "city": "White River Junction",
            "state": "VT",
            "postal_code": "050017071",
            "country_code": "US",
            "telephone_number": "802-281-6056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOOD",
        "first_name": "JESSICA",
        "middle_name": "L",
        "credential": "DNP, WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-07",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "RI",
            "license": "APRN02215",
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "VT",
            "license": "101.0130398",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.