Active NPI
Nicole M Woodruff, ARNP
- Family Nurse Practitioner
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP30006825
- Practice address
- 11011 Meridian Ave N Ste 201
Seattle, WA 98133-8967 - Phone
- (206) 520-5000
- NPI assigned
- Aug 29, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP30006825 | WA | |
| Family Nurse Practitioner | 363LF0000X | AP30006825 | WA | Primary |
Addresses
Primary practice location
11011 Meridian Ave N Ste 201
Seattle, WA 98133-8967
Mailing address
PO Box 50095
Seattle, WA 98145-5095
Phone (206) 520-5700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881703536 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1550 N 115TH St
Seattle, WA 98133-8401
Phone (206) 364-0500
1570 N 115TH St
Seattle, WA 98133-8401
Phone (206) 306-2800
Hospital & facility affiliations
- University of Washington Medical Ctr
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.85 of 100
- Quality
- 74.6
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP30006825 | WA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Association of University Physicians | Current | Accepting new patients | |
| Observatory Surgery Center LLC. | Past | Accepting new patients | |
| Harry B Matossian, M.D. | Past | Accepting new patients |
Locations
1560 N 115th St
Ste 209
Seattle, WA 98133
Phone (206) 363-6648
1455 NW Leary Way
Ste 350
Seattle, WA 98107
Phone (206) 782-3383
1959 NE Pacific St
Seattle, WA 98195
Phone (206) 598-4333
10330 Meridian Ave N
Ste 200
Seattle, WA 98133
Phone (206) 368-6644
4400 37th Ave S
Seattle, WA 98118
Phone (206) 296-4650
2124 4th Ave
Seattle, WA 98121
Phone (206) 296-4755
11011 Meridian Ave N
Ste 201
Seattle, WA 98133
Phone (206) 668-4044
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.
-
- Anesthesiology Physician
- Seattle, WA
- NPI 1023041159
-
- Ambulatory Surgical Clinic/Center
- Ukiah, CA
- NPI 1851682850
-
- Ambulatory Surgical Clinic/Center
- Ukiah, CA
- NPI 1083944375
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1326002049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572998400000",
"number": "1881703536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 50095",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981455095",
"telephone_number": "206-520-5700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11011 MERIDIAN AVE N STE 201",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981338967",
"telephone_number": "206-520-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODRUFF",
"first_name": "NICOLE",
"middle_name": "M",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-29",
"last_updated": "2019-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP30006825",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP30006825",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1881703536",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; 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.