Individual provider Active NPI

Michele Lisette Woodford, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Cotulla, TX
National Provider Identifier
1841333689
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
02735 Issued in TX
Practice address
408 N Giraud
Cotulla, TX 78014-3113
Phone
(830) 879-2279
Fax
(830) 879-2235
NPI assigned
Feb 14, 2007
Last updated
Feb 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 02735 TX Primary

Addresses

Primary practice location

408 N Giraud
Cotulla, TX 78014-3113

Mailing address

PO Box 2070
Orange Grove, TX 78372-2070
Phone (361) 382-2024

Other identifiers 2

IdentifierTypeStateIssuer
363735702MedicaidTX
506397YLLWOtherTXMEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MICHELE.WOODFORD@hca7.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20131127000368 TX Practitioner - Physician Assistant 6002042884 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
May accept Medicare assignment
Group practices
Hometown Healthcare LLCGroup PAC ID 8426247925, 6 clinicians

Practice addresses (Care Compare)

101 S Eugenia St
Orange Grove, TX 78372-2309
Phone (361) 382-2024

205 N Commerce St
Dilley, TX 78017-3500
Phone (830) 965-4466

404 E San Marcos St
Pearsall, TX 78061-3226
Phone (830) 334-3336

408 N Giraud
Cotulla, TX 78014-3113
Phone (830) 879-2279

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
02735TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hometown Healthcare LLC CurrentSince Jul 11, 2024 Accepting new patients
Centerwell Senior Primary Care (SC) PC Past Accepting new patients
Conviva Medical Center Management of Texas, P.a. PastSince Jan 1, 2015 Accepting new patients

Locations

408 N Giraud
Cotulla, TX 78014
Phone (830) 879-2279

101 S Eugenia St
Orange Grove, TX 78372
Phone (361) 382-2024

Interoperability endpoints

  • Direct secure messaging: 2477-woodford-michele@direct.leadingreach.com
  • Direct secure messaging: 9660-woodford-michele@direct.leadingreach.com
  • Direct secure messaging: michele.woodford@hca7.eclinicaldirectplus.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1841333689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2070",
            "city": "ORANGE GROVE",
            "state": "TX",
            "postal_code": "783722070",
            "telephone_number": "361-382-2024",
            "fax_number": "855-606-6314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 N GIRAUD",
            "city": "COTULLA",
            "state": "TX",
            "postal_code": "780143113",
            "telephone_number": "830-879-2279",
            "fax_number": "830-879-2235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODFORD",
        "first_name": "MICHELE",
        "middle_name": "LISETTE",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "02735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "363735702",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "506397YLLW",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MICHELE.WOODFORD@hca7.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1907 E State Highway 97 Ste 150",
            "city": "Jourdanton",
            "state": "TX",
            "country_code": "US",
            "postal_code": "780261538",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cotulla, TX

Sources for this page

Verify at the official NPI Registry.