Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ALEXA-GAIL RUTH-ANN WOOLERY APRN
NPI 1053000927
Nurse Practitioner - Family in Indian Land, SC

Q: What is Alexa-gail Woolery's NPI number?

The NPI number for Alexa-gail Woolery is 1053000927. It was assigned to this individual provider in the NPPES registry on May 5, 2023.

Q: What is Alexa-gail Woolery's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since May 05, 2023PECOS Enrolled

1040 EDGEWATER CORPORATE PKWY STE 101, INDIAN LAND, SC 29707(803) 548-7007 Get Directions Write a Review

NPPES record last updated: September 17, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 17, 2026, May 5, 2023 (2 updates tracked since 2023).

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About Alexa-gail Ruth-ann Woolery Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALEXA-GAIL RUTH-ANN WOOLERY APRN (NPI 1053000927) is an individual family provider in Indian Land, South Carolina, licensed in South Carolina (27289) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Indian Land, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1053000927

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameALEXA-GAIL RUTH-ANN WOOLERYCredential: APRN

Location Address1040 EDGEWATER CORPORATE PKWY STE 101Indian Land, SC 29707-4526

Mailing Address2745 Statesville AveCharlotte, NC 28206-1577 · (803) 389-1497

Phone(803) 548-7007

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateMay 5, 2023

Last NPPES UpdateSeptember 17, 20262 updates tracked since enumeration

NPPES CertifiedSeptember 17, 2026

✔ NPI 1053000927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in SC · 27289

1040 EDGEWATER CORPORATE PKWY STE 101, Indian Land, SC 29707

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Secondary Practice Location 1

Location 11040 Edgewater Corporate Pkwy Ste 104Indian Land, SC 29707-4526 · Phone (803) 548-2310

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alexa-gail Ruth-ann Woolery Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6002263837

PECOS Enrollment IDI20231115002440

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29707 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KERRION GREEN

Nurse Practitioner (Family)