Individual provider Active NPI

Nicole Dewoody, NP

  • Nurse Practitioner
  • Plano, TX
National Provider Identifier
1992357529
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP140865 Issued in TX
Practice address
6149 Windhaven Pkwy Ste 130
Plano, TX 75093-8298
Phone
(972) 881-1320
NPI assigned
Jul 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP140865 TX Primary

Addresses

Primary practice location

6149 Windhaven Pkwy Ste 130
Plano, TX 75093-8298

Mailing address

8135 Forest LN # 515057
Dallas, TX 75230-2472
Phone (469) 850-5760

Other practice location 1

17051 Dallas Pkwy Ste 220
Addison, TX 75001-7145
Phone (214) 382-3200

Other practice location 2

8080 State Highway 121 Ste 200
McKinney, TX 75070-2902
Phone (214) 382-3200

Other practice location 3

1030 S Coit Rd
Prosper, TX 75078-2950
Phone (214) 382-3200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190817000160 TX Practitioner - Nurse Practitioner 8224366034 Reassigns benefits to 1 organization
I20250925000845 AR Practitioner - Nurse Practitioner 8224366034 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ozark Regional Vein Center LLCGroup PAC ID 0244483089, 6 clinicians

Practice addresses (Care Compare)

5433 W Walsh LN
Rogers, AR 72758-8946
Phone (479) 464-8346

Merit-based Incentive Payment System (MIPS)

Final score
70.97 of 100Reported as group
Quality
43.69
Promoting interoperability
91
Improvement activities
40
Cost
67.06

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vitality Vein Care Nurse Practitioner CurrentSince Nov 1, 2021 Accepting new patients
Ozark Regional Vein Center, LLC CurrentSince Jul 30, 2025 Accepting new patients
Bon Secours-Virginia Healthsource PastSince Jul 30, 2025 Accepting new patients

Locations

209 Carter St
Berryville, AR 72616
Phone (479) 636-9393

5433 W Walsh Ln
Rogers, AR 72758
Phone (479) 464-8346

2100 S 54th St
Rogers, AR 72758
Phone (479) 271-7007

301 N Preston Rd
Ste D
Prosper, TX 75078
Phone (760) 315-0832

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.

NPI Registry JSON

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

{
    "created_epoch": "1562976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1992357529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8135 FOREST LN # 515057",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302472",
            "telephone_number": "469-850-5760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6149 WINDHAVEN PKWY STE 130",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938298",
            "telephone_number": "972-881-1320"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17051 Dallas Pkwy Ste 220",
            "address_purpose": "LOCATION",
            "city": "Addison",
            "state": "TX",
            "postal_code": "750017145",
            "country_code": "US",
            "telephone_number": "214-382-3200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8080 State Highway 121 Ste 200",
            "address_purpose": "LOCATION",
            "city": "McKinney",
            "state": "TX",
            "postal_code": "750702902",
            "country_code": "US",
            "telephone_number": "214-382-3200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1030 S Coit Rd",
            "address_purpose": "LOCATION",
            "city": "Prosper",
            "state": "TX",
            "postal_code": "750782950",
            "country_code": "US",
            "telephone_number": "214-382-3200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEWOODY",
        "first_name": "NICOLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-13",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP140865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.