Blake M Woods, DNP, APN, AGNP-C

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

209012171 Issued in IL

Practice address

1203 W 10TH St
Metropolis, IL 62960-2433

Phone

(618) 524-3795

NPI assigned

Oct 26, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in KY, IL2 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, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Residential Home Health of Southern Illinois, LLC Home health agency, Marion, IL, CCN 147112
• Baptist Health Home Care Ky, LLC Dba Baptist Home Health Care Home health agency, Louisville, KY, CCN 187091
• Baptist Health Paducah Hospital, Paducah, KY, CCN 180104
• Massac Memorial Hospital Hospital, Metropolis, IL, CCN 141323

Merit-based Incentive Payment System (MIPS)

Final score

94.29 of 100Reported as apm

Quality

87.32

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bwoods46165@bhkydirect.com

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.

• Baptist Health Medical Group Inc

  • Family Medicine Physician
  • Paducah, KY
  • NPI 1922401611

  IL

  Medicare reassignment Care Compare group NPD
• Curana Health of Kentucky LLC

  • Nurse Practitioner
  • Louisville, KY
  • NPI 1124328323
  Medicare reassignment NPD
• Baptist Health Medical Group Inc

  • Rural Health Clinic/Center
  • Dawson Springs, KY
  • NPI 1982178216
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Massac Memorial Hospital

  • Critical Access Hospital
  • Metropolis, IL
  • NPI 1790788578
  Care Compare affiliation
• Residential Home Health of Southern Illinois, LLC

  • Home Health Agency
  • Marion, IL
  • NPI 1235556838
  Care Compare affiliation
• Baptist Health Home Care Ky LLC

  • Home Health Agency
  • Paducah, KY
  • NPI 1780498030
  Care Compare affiliation
• Baptist Healthcare System, Inc

  • General Acute Care Hospital
  • Paducah, KY
  • NPI 1730264128
  Care Compare affiliation

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

{
    "created_epoch": "1414281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1548665136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 W 19TH ST",
            "city": "METROPOLIS",
            "state": "IL",
            "postal_code": "629601104",
            "telephone_number": "618-638-0208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 W 10TH ST",
            "city": "METROPOLIS",
            "state": "IL",
            "postal_code": "629602433",
            "telephone_number": "618-524-3795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODS",
        "first_name": "BLAKE",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "DNP, APN, AGNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-26",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KY",
            "license": "1102339",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041336078",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "KY",
            "license": "3009061",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IL",
            "license": "209012171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bwoods46165@bhkydirect.com",
            "affiliation": "N",
            "address_1": "1203 W 10th St",
            "city": "Metropolis",
            "state": "IL",
            "country_code": "US",
            "postal_code": "629602433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Stacey Westbrooks
• Fred White, D.C.
• Randy Ray Wientjes, C.R.N.A.
• Roberta Susan Williams, LCPC
• Mallory Renee Wittig, FNP
• Jessica Jean Wright, APRN

• Primary Care Nurse Practitioner in Metropolis, IL
• Providers in Metropolis, IL by specialty
• Primary Care Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; 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.