Active NPI
John Moo Wood, APRN
- Nurse Practitioner
- Windsor, VT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 101.0137193
- Practice address
- 289 County Rd
Windsor, VT 05089-9000 - Phone
- (802) 674-6711
- NPI assigned
- Nov 9, 2021
- Sex
- Male
- 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 | 10023 | MN | |
| Nurse Practitioner | 363L00000X | 101.0137193 | VT | Primary |
Addresses
Primary practice location
289 County Rd
Windsor, VT 05089-9000
Mailing address
1000 Button Hill Rd
Cuttingsville, VT 05738-4401
Phone (802) 492-3207
Other practice location 1
160 Allen St
Rutland, VT 05701-4560
Phone (802) 747-3649
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, VT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230420001021 | WI | Practitioner - Nurse Practitioner | 1254705460 | Reassigns benefits to 7 organizations |
| I20241111001828 | VT | Practitioner - Nurse Practitioner | 1254705460 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13615 | WI | MD | Physical Therapist |
| 10023 | MN | MD | Nurse Practitioner |
| 101.0137193 | VT | MD | Nurse Practitioner |
Practice roles
Locations
404 W Fountain St
Albert Lea, MN 56007
Phone (507) 377-6285
800 Medical Center Dr
Fairmont, MN 56031
Phone (507) 238-8100
500 W Grant St
Lake City, MN 55041
Phone (651) 345-3321
1025 Marsh St
Mankato, MN 56001
Phone (507) 345-2623
200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850
1101 Moulton and Parsons Dr
Saint James, MN 56081
Phone (507) 375-3261
160 Allen St
Rutland, VT 05701
1222 E Woodland Ave
Barron, WI 54812
Phone (715) 537-3166
1501 Thompson St
Bloomer, WI 54724
Phone (715) 568-2000
733 W Clairemont Ave
Eau Claire, WI 54701
Phone (715) 838-3806
2321 Stout Rd
Menomonie, WI 54751
Phone (715) 235-5531
13025 8th St
Osseo, WI 54758
Phone (715) 597-2575
800 E Blackhawk Ave
Prairie du Chien, WI 53821
Phone (608) 326-0808
310 W Main St
Sparta, WI 54656
Phone (608) 269-1700
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/6f43d0e7-6ff2-489b-abdc-44e8a5e0ca0a/
Organizations & group practices 26
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.
-
- Critical Access Hospital
- Menomonie, WI
- NPI 1154372944
WI
-
- Multi-Specialty Clinic/Center
- Eau Claire, WI
- NPI 1235588831
WI
-
- Critical Access Hospital
- Bloomer, WI
- NPI 1700837812
WI
-
- Critical Access Hospital
- Barron, WI
- NPI 1740239557
WI
-
- Critical Access Hospital
- Osseo, WI
- NPI 1912958026
WI
-
- Multi-Specialty Clinic/Center
- La Crosse, WI
- NPI 1629056049
WI
-
- Critical Access Hospital
- Sparta, WI
- NPI 1841278637
WI
-
- Psychiatric Hospital Unit
- Rutland, VT
- NPI 1467416206
-
- Clinical Medical Laboratory
- Rochester, MN
- NPI 1083249577
-
- Multi-Specialty Clinic/Center
- Rochester, MN
- NPI 1922074434
-
- Multi-Specialty Clinic/Center
- Fairmont, MN
- NPI 1366410862
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731369600000",
"number": "1891451365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 BUTTON HILL RD",
"city": "CUTTINGSVILLE",
"state": "VT",
"postal_code": "057384401",
"telephone_number": "802-492-3207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "289 COUNTY RD",
"city": "WINDSOR",
"state": "VT",
"postal_code": "050899000",
"telephone_number": "802-674-6711"
}
],
"practiceLocations": [
{
"address_1": "160 Allen St",
"address_purpose": "LOCATION",
"city": "Rutland",
"state": "VT",
"postal_code": "057014560",
"country_code": "US",
"telephone_number": "802-747-3649",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WOOD",
"first_name": "JOHN",
"middle_name": "MOO",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-11-09",
"last_updated": "2024-11-12",
"certification_date": "2024-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MN",
"license": "10023",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "VT",
"license": "101.0137193",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Windsor, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.