Individual provider Active NPI

Elizabeth Kaye Woodward, AGNP-C

  • Adult Health Nurse Practitioner
  • Osage Beach, MO
National Provider Identifier
1679445159
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
2025041504 Issued in MO
Practice address
1029 Nichols Rd Ste 401
Osage Beach, MO 65065-3008
Phone
(573) 302-3111
NPI assigned
Sep 23, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 2025041504 MO
Adult Health Nurse Practitioner 363LA2200X 2025041504 MO Primary
General Practice Physician 208D00000X 2025041504 MO
Urology Physician 208800000X 2025041504 MO

Addresses

Primary practice location

1029 Nichols Rd Ste 401
Osage Beach, MO 65065-3008

Mailing address

8 Hand LN
Eldon, MO 65026-4770

Other practice location 1

416 S Maple St
Eldon, MO 65026-1812
Phone (573) 392-5654

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20251107002859 MO Practitioner - Nurse Practitioner 8123518040 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake Regional Health SystemGroup PAC ID 9133026776, 132 clinicians

Practice addresses (Care Compare)

1029 Nichols Rd
Suite 401
Osage Beach, MO 65065-3008
Phone (573) 302-3111

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2025041504MOMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Regional Health System CurrentSince Jan 1, 2026 Accepting new patients
Lake Regional Health System CurrentSince Jan 1, 2026 Accepting new patients

Locations

304A E 4th St
Eldon, MO 65026
Phone (573) 392-5654

54 Hospital Dr
Osage Beach, MO 65065
Phone (573) 280-2772

1029 Nichols Rd
Ste 401
Osage Beach, MO 65065
Phone (573) 302-3111

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 2

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": "1758585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1679445159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 HAND LN",
            "city": "ELDON",
            "state": "MO",
            "postal_code": "650264770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 NICHOLS RD STE 401",
            "city": "OSAGE BEACH",
            "state": "MO",
            "postal_code": "650653008",
            "telephone_number": "573-302-3111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "416 S Maple St",
            "address_purpose": "LOCATION",
            "city": "Eldon",
            "state": "MO",
            "postal_code": "650261812",
            "country_code": "US",
            "telephone_number": "573-392-5654",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOODWARD",
        "first_name": "ELIZABETH",
        "middle_name": "KAYE",
        "credential": "AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-23",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "MO",
            "license": "2025041504",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "2025041504",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MO",
            "license": "2025041504",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MO",
            "license": "2025041504",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Osage Beach, MO

Sources for this page

Verify at the official NPI Registry.