Individual provider Active NPI

Elizabeth Woodfin, CRNP

  • Family Nurse Practitioner
  • Pike Road, AL
National Provider Identifier
1497273395
Registry record updated Feb 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-094100 Issued in AL
Practice address
11123 Chantilly Pkwy CT Unit M
Pike Road, AL 36064-2881
Phone
(334) 832-2301
Fax
(334) 832-2302
NPI assigned
Aug 31, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2020

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 1-094100 AL Primary

Addresses

Primary practice location

11123 Chantilly Pkwy CT Unit M
Pike Road, AL 36064-2881

Mailing address

1722 Pine St Ste 503
Montgomery, AL 36106-1160
Phone (334) 293-8736

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20180131002486 AL Practitioner - Nurse Practitioner 3779843255 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jackson Hospital and Clinic, IncGroup PAC ID 0547254153, 119 clinicians

Practice addresses (Care Compare)

11123 Chantilly Pkwy CT
Pike Road, AL 36064-2880
Phone (334) 293-8888

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.12 of 100Reported as individual
Quality
76.63
Improvement activities
40
Cost
66.59

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson Hospital & Clinic, Inc. CurrentSince Sep 11, 2017 Accepting new patients
Jackson Hospital and Clinic, Inc. CurrentSince Sep 11, 2017 Accepting new patients
Jackson Hospital & Clinic, Inc. Past Accepting new patients

Locations

1725 Pine St
Montgomery, AL 36106
Phone (334) 293-8000

1722 Pine St
Ste 503
Montgomery, AL 36106
Phone (334) 240-2337

1801 Pine St
Ste 103
Montgomery, AL 36106
Phone (334) 293-8888

11123 Chantilly Pkwy Ct
Pike Road, AL 36064
Phone (334) 270-1151

11123 Chantilly Pkwy Ct
Unit M
Pike Road, AL 36064
Phone (334) 293-8888

701 McQueen Smith Rd S
Prattville, AL 36066
Phone (334) 351-2040

Interoperability endpoints

  • Direct secure messaging: elizabeth.woodfin.1@9186.direct.athenahealth.com

Organizations & group practices 3

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 6

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": "1504137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1497273395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1722 PINE ST STE 503",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061160",
            "telephone_number": "334-293-8736",
            "fax_number": "334-293-8738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11123 CHANTILLY PKWY CT UNIT M",
            "city": "PIKE ROAD",
            "state": "AL",
            "postal_code": "360642881",
            "telephone_number": "334-832-2301",
            "fax_number": "334-832-2302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODFIN",
        "first_name": "ELIZABETH",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-31",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-094100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pike Road, AL

Sources for this page

Verify at the official NPI Registry.