Individual provider Active NPI

Mildred Sue Woodruff, APRN, BSN, MSN, FNP

  • Family Nurse Practitioner
  • Fort Pierce, FL
National Provider Identifier
1629362199
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0038371 Issued in OH
Practice address
1505 Delaware Ave
Fort Pierce, FL 34950-3975
Phone
(772) 461-1402
Fax
(561) 847-2306
NPI assigned
Jun 2, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 28196047A IN
Family Nurse Practitioner 363LF0000X ARNP9244530 FL
Women's Health Nurse Practitioner 363LW0102X 3006942 KY
Family Nurse Practitioner 363LF0000X APRN.CNP.0038371 OH Primary

Addresses

Primary practice location

1505 Delaware Ave
Fort Pierce, FL 34950-3975

Mailing address

1505 Delaware Ave
Fort Pierce, FL 34950-3975
Phone (772) 461-1402

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, OH, VA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20150218001029 FL Practitioner - Nurse Practitioner 5890963193 Reassigns benefits to 1 organization
I20250116002700 OH Practitioner - Nurse Practitioner 5890963193 Reassigns benefits to 4 organizations
I20250124003565 VA Practitioner - Nurse Practitioner 5890963193 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doctors House Calls of Florida LLCGroup PAC ID 9335433465, 16 clinicians
Extended Care Specialists, IncGroup PAC ID 2466407713, 295 clinicians

Practice addresses (Care Compare)

1239 SE Indian St
Suite 102
Stuart, FL 34997-5633
Phone (772) 781-2207

3958 Brown Park Dr
Suite D
Hilliard, OH 43026-1160
Phone (260) 483-9081

Hospital & facility affiliations

  • Trilogy Home Healthcare Home health agency, Port Saint Lucie, FL, CCN 109270
  • Pinnacle Home Care Home health agency, Port Saint Lucie, FL, CCN 109610
  • HCA Florida Healthcare at Home Home health agency, Fort Pierce, FL, CCN 107271
  • HCA Florida Raulerson Hospital Hospital, Okeechobee, FL, CCN 100252

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing, Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
28196047AINMDRegistered Nurse
3006942KYMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Eventus WH PLLC Care, LLC CurrentSince Dec 1, 2025 Accepting new patients
Eventus WH Mid-Atlantic, LLC CurrentSince Oct 1, 2025 Accepting new patients
Eventus Wholehealth Midwest Inc CurrentSince Nov 4, 2025 Accepting new patients
Eventus Premier Healthcare LLC CurrentSince Jan 6, 2025 Accepting new patients
Extended Care Specialists, Inc Family CurrentSince Jan 1, 2025 Accepting new patients
Doctors House Calls of Florida, LLC CurrentSince Mar 31, 2025 Accepting new patients
Eventus Ecs - Ohio LLC Family CurrentSince Oct 1, 2025 Accepting new patients
Eventus Ecs, Inc CurrentSince Jan 1, 2025 Accepting new patients
Eventus WH Mid-Atlantic Care LLC CurrentSince Oct 1, 2025 Accepting new patients
Md2U Indiana LLC PastSince Dec 20, 2010 Accepting new patients

Locations

1239 SE Indian St
Ste 102
Stuart, FL 34997
Phone (561) 900-2497

4400 Easton Cmns
Ste 125
Columbus, OH 43219
Phone (514) 546-1900

3958 Brown Park Dr
Ste D
Hilliard, OH 43026

4701 Cox Rd
Ste 285
Glen Allen, VA 23060
Phone (540) 255-3881

250 Browns Hill Ct
Midlothian, VA 23114
Phone (424) 328-6526

999 Waterside Dr
Ste 2525
Norfolk, VA 23510
Phone (757) 777-3787

Interoperability endpoints

  • Direct secure messaging: mildred.woodruff.1@24095.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/24095/brand/1/csg/1/fhir/r4

Organizations & group practices 10

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 4

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": "1306972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1629362199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 DELAWARE AVE",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349503975",
            "telephone_number": "772-461-1402",
            "fax_number": "561-847-2306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 DELAWARE AVE",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349503975",
            "telephone_number": "772-461-1402",
            "fax_number": "561-847-2306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODRUFF",
        "first_name": "MILDRED",
        "middle_name": "SUE",
        "credential": "APRN, BSN, MSN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-02",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28196047A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9244530",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "KY",
            "license": "3006942",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0038371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

Verify at the official NPI Registry.