Individual provider Active NPI

Jerri L Wood, APRN,BC

  • Family Nurse Practitioner
  • Scott Depot, WV
National Provider Identifier
1962565192
Registry record updated Sep 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9352901 Issued in FL
Practice address
301 Great Teays Blvd Ste 6
Scott Depot, WV 25560-9552
Phone
(304) 757-6999
Fax
(304) 201-5019
NPI assigned
Dec 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9352901 FL Primary

Addresses

Primary practice location

301 Great Teays Blvd Ste 6
Scott Depot, WV 25560-9552

Mailing address

2323 S Orange Ave
Ste a
Orlando, FL 32806-3059
Phone (304) 757-6999

Other identifiers 3

IdentifierTypeStateIssuer
3810013710MedicaidWV
5630092000MedicaidWV
3810011888MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20130219000331 FL Practitioner - Nurse Practitioner 8921007121 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Carenow Urgent Care LLCGroup PAC ID 1759666050, 57 clinicians

Practice addresses (Care Compare)

628 Cagan View Rd
Clermont, FL 34714-6566
Phone (352) 242-1988

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
VMD Primary Providers Central Florida PLLC CurrentSince May 27, 2022 Accepting new patients
Muqeet Siddiqui, MD, LLC CurrentSince Jun 1, 2021 Accepting new patients
VMD Primary Providers Central Florida PLLC CurrentSince May 27, 2022 Accepting new patients
Orlando Carenow Urgent Care LLC CurrentSince May 5, 2021 Accepting new patients
THS Physician Partners Inc Family PastSince May 1, 2015 Accepting new patients
Maria Luna T Navarro, M.D. Past Accepting new patients
VMD Primary Providers Central Florida PLLC PastSince May 8, 2022 Accepting new patients
Bethesda/Solantic Joint Venture, LLC PastSince Jul 2, 2009 Accepting new patients
Dwic of Tampa Bay, Inc Past Accepting new patients
Heathrow Internal Medicine LLC Past Accepting new patients
Tenet-Solantic Joint Venture LLC PastSince Nov 22, 2010 Accepting new patients

Locations

4404 S Highway 27
Clermont, FL 34711

628 Cagan View Rd
Clermont, FL 34714
Phone (352) 242-1988

40083 Highway 27
Davenport, FL 33837

408 Old Polk City Rd
Lakeland, FL 33809

724 Charles St
Orlando, FL 32808
Phone (321) 239-4413

1060 Woodcock Rd
Ste 128
Orlando, FL 32803
Phone (346) 980-2725

5102 Sr 46
Sanford, FL 32771
Phone (321) 765-6152

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Organizations & group practices 11

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505779200000",
    "number": "1962565192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 S ORANGE AVE",
            "address_2": "STE A",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328063059",
            "telephone_number": "304-757-6999",
            "fax_number": "304-201-5019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 GREAT TEAYS BLVD STE 6",
            "city": "SCOTT DEPOT",
            "state": "WV",
            "postal_code": "255609552",
            "telephone_number": "304-757-6999",
            "fax_number": "304-201-5019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "JERRI",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "APRN,BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2017-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9352901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810013710",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5630092000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810011888",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scott Depot, WV

Sources for this page

Verify at the official NPI Registry.