Active NPI
Mildred Sue Woodruff, APRN, BSN, MSN, FNP
- Family Nurse Practitioner
- Fort Pierce, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN.CNP.0038371
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
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
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
- Pinnacle Home Care
- HCA Florida Healthcare at Home
- HCA Florida Raulerson Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor on Science - Nursing, Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28196047A | IN | MD | Registered Nurse |
| 3006942 | KY | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eventus WH PLLC Care, LLC | Current | Accepting new patients | |
| Eventus WH Mid-Atlantic, LLC | Current | Accepting new patients | |
| Eventus Wholehealth Midwest Inc | Current | Accepting new patients | |
| Eventus Premier Healthcare LLC | Current | Accepting new patients | |
| Extended Care Specialists, Inc | Family | Current | Accepting new patients |
| Doctors House Calls of Florida, LLC | Current | Accepting new patients | |
| Eventus Ecs - Ohio LLC | Family | Current | Accepting new patients |
| Eventus Ecs, Inc | Current | Accepting new patients | |
| Eventus WH Mid-Atlantic Care LLC | Current | Accepting new patients | |
| Md2U Indiana LLC | Past | 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
- mildred.woodruff.1@24095.direct.athenahealth.com
- 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.
-
- Internal Medicine Physician
- Stuart, FL
- NPI 1750756276
-
- Geriatric Medicine (Family Medicine) Physician
- Midlothian, VA
- NPI 1437998309
-
- Geriatric Medicine (Family Medicine) Physician
- Midlothian, VA
- NPI 1063253490
-
- Geriatric Medicine (Family Medicine) Physician
- Midlothian, VA
- NPI 1700627130
-
- Primary Care Clinic/Center
- Indianapolis, IN
- NPI 1598070740
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Port St Lucie, FL
- NPI 1831365253
-
- Home Health Agency
- Fort Pierce, FL
- NPI 1922083666
-
- General Acute Care Hospital
- Okeechobee, FL
- NPI 1215974134
-
- Home Health Agency
- Port St Lucie, FL
- NPI 1285191825
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; 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.