Individual provider Active NPI

Charlsie Cobb Woodard, APRN, CNP

  • Family Nurse Practitioner
  • Greenville, NC
National Provider Identifier
1609198761
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
111217 Issued in NC
Practice address
526 Moye Blvd
Greenville, NC 27834-2848
Phone
(252) 847-0052
Fax
(252) 847-2213
NPI assigned
Feb 17, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 111217 NC
Family Nurse Practitioner 363LF0000X 235023 MT
Family Nurse Practitioner 363LF0000X 4911 MN
Family Nurse Practitioner 363LF0000X 111217 NC Primary

Addresses

Primary practice location

526 Moye Blvd
Greenville, NC 27834-2848

Mailing address

3915 Sterling Pointe Dr Unit JJ8
Winterville, NC 28590-9235
Phone (252) 412-5594

Other practice location 1

1401 25th St S
Great Falls, MT 59405-5183
Phone (406) 731-8888

Other practice location 2

1650 4th St SE
Rochester, MN 55904-4717
Phone (507) 529-6600

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address cwoodard23433@direct.vidanthealth.com Health Information Exchange (HIE)
Direct Messaging Address cwoodard41202@benefishs.direct-ci.com Benefis Hospitals Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, MN, MT, WY, VT, MD, DE7 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 7

Enrollment IDStateProvider typePAC IDDetails
I20100512000530 NC Practitioner - Nurse Practitioner 2668500620 Reassigns benefits to 2 organizations
I20161209000237 MN Practitioner - Nurse Practitioner 2668500620 Reassigns benefits to 1 organization
I20171204002058 MT Practitioner - Nurse Practitioner 2668500620 Reassigns benefits to 2 organizations
I20240313002878 WY Practitioner - Nurse Practitioner 2668500620 Reassigns benefits to 2 organizations
I20250902001768 VT Practitioner - Nurse Practitioner 2668500620 Reassigns benefits to 1 organization
I20260601001780 MD Practitioner - Nurse Practitioner 2668500620 Reassigns benefits to 1 organization
I20260601002009 DE Practitioner - Nurse Practitioner 2668500620 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Benefis Hospitals IncGroup PAC ID 1153235296, 390 clinicians
Bluewater Emergency Partners of Brunswick, LLCGroup PAC ID 3375774227, 151 clinicians
Olmsted Medical CenterGroup PAC ID 8527970060, 324 clinicians
Vidant Medical Group LLCGroup PAC ID 0345343893, 986 clinicians

Practice addresses (Care Compare)

1401 25TH St S
Great Falls, MT 59405-5183
Phone (406) 455-5000

17 Belmont Ave
Brattleboro, VT 05301-3498
Phone (802) 257-0341

210 9TH St SE
Rochester, MN 55904-6425
Phone (507) 288-3443

2100 Stantonsburg Rd
Greenville, NC 27834-2818
Phone (252) 847-1757

401 A N Main St
Kenansville, NC 28349-8801
Phone (910) 296-0941

401 N Main St
Kenansville, NC 28349-8801
Phone (910) 296-0941

417 N Main St
Kenansville, NC 28349-8801
Phone (910) 296-8080

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4911MNMDRegistered Dietitian
235023MTMDFamily Nurse Practitioner
111217NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vidant Medical Group LLC CurrentSince Mar 31, 2010 Accepting new patients
South Big Horn County Hospital District Current Accepting new patients
Olmsted Medical Center CurrentSince Mar 20, 2023 Accepting new patients
Great Falls Clinic LLC CurrentSince Jun 1, 2024 Accepting new patients
Bluewater Emergency Partners of Brunswick, LLC CurrentSince Aug 1, 2025 Accepting new patients
South Big Horn County Hospital District CurrentSince Feb 9, 2024 Accepting new patients
Olmsted Medical Center CurrentSince Mar 20, 2023 Accepting new patients
Benefis Hospitals Inc CurrentSince May 12, 2024 Accepting new patients
Outer Banks Professional Services, LLC CurrentSince Nov 10, 2025 Accepting new patients
South Big Horn County Hospital District CurrentSince Feb 9, 2024 Accepting new patients
Ladd Memorial Hospital Past Accepting new patients

Locations (25 of 33)

846 High Point Dr NE
Byron, MN 55920
Phone (507) 775-2128

1705 N Highway 20
Cannon Falls, MN 55009
Phone (507) 263-4900

207 Twiford St SW
Chatfield, MN 55923
Phone (507) 867-4901

507 W Doughty St
Lake City, MN 55041
Phone (651) 345-2350

111 County Road 11 NW
Pine Island, MN 55963
Phone (507) 356-2476

20 2nd Ave NE
Plainview, MN 55964
Phone (507) 534-3885

405 Kansas St NW
Preston, MN 55965
Phone (507) 765-5324

5067 55th St NW
Rochester, MN 55901
Phone (507) 292-7070

90 14th St SW
Ste 200
Rochester, MN 55902
Phone (507) 280-1824

1650 4th St SE
Rochester, MN 55904
Phone (507) 285-8485

102 Elton Hills Dr NW
Ste 200
Rochester, MN 55901
Phone (507) 280-1824

210 9th St SE
Rochester, MN 55904
Phone (507) 529-6616

132 17th Ave NW
Ste 132
Rochester, MN 55901
Phone (507) 292-7411

318 1st Ave SW
Ste 203
Rochester, MN 55902
Phone (507) 292-7250

403 W 4th St
Saint Charles, MN 55972
Phone (507) 534-3885

802 Memorial Dr
Spring Valley, MN 55975
Phone (507) 346-7373

208 Ctr Town Plz N
Stewartville, MN 55976
Phone (507) 533-4727

802 2nd St SE
Cut Bank, MT 59427
Phone (406) 873-2251

1101 26th St S
Great Falls, MT 59405
Phone (406) 455-4690

1400 29th St S
Great Falls, MT 59405
Phone (406) 442-3570

1101 26th St S
Fl 5
Great Falls, MT 59405
Phone (406) 455-2132

1401 25th St S
Great Falls, MT 59405
Phone (406) 455-3650

3000 15th Ave S
Great Falls, MT 59405
Phone (406) 771-3102

25 14th Ave NW
Great Falls, MT 59404
Phone (406) 455-4777

2100 Stantonsburg Rd
Greenville, NC 27834
Phone (252) 744-3229

Interoperability endpoints

  • Direct secure messaging: cwoodard148046@direct.phs.org
  • Direct secure messaging: cwoodard41202@benefishs.direct-ci.com
  • Direct secure messaging: cwoodard645586@direct.centracare.com
  • Direct secure messaging: cwoodard21011@direct.olmmed.org
  • Direct secure messaging: cwoodard23433@direct.ecuhealth.com
  • FHIR API: https://api.platform.athenahealth.com/25095/brand/1/csg/1/fhir/r4

Organizations & group practices 12

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": "1266364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1609198761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3915 STERLING POINTE DR UNIT JJ8",
            "city": "WINTERVILLE",
            "state": "NC",
            "postal_code": "285909235",
            "telephone_number": "252-412-5594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 MOYE BLVD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278342848",
            "telephone_number": "252-847-0052",
            "fax_number": "252-847-2213"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 25th St S",
            "address_purpose": "LOCATION",
            "city": "Great Falls",
            "state": "MT",
            "postal_code": "594055183",
            "country_code": "US",
            "telephone_number": "406-731-8888",
            "fax_number": "406-731-8318",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1650 4th St SE",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "MN",
            "postal_code": "559044717",
            "country_code": "US",
            "telephone_number": "507-529-6600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOODARD",
        "first_name": "CHARLSIE",
        "middle_name": "COBB",
        "credential": "APRN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-17",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NC",
            "license": "111217",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "235023",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "4911",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "111217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cwoodard23433@direct.vidanthealth.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2100 Stantonsburg Rd",
            "city": "Greenville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "278342818",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cwoodard41202@benefishs.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "Benefis Hospitals Inc",
            "address_1": "1401 25th St S",
            "city": "Great Falls",
            "state": "MT",
            "country_code": "US",
            "postal_code": "594055183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

Verify at the official NPI Registry.