SAMUEL BRYAN WOOD
NPI 1154835197
Nurse Practitioner - Family in Fort Defiance, AZ
About Samuel Bryan Wood NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMUEL BRYAN WOOD (NPI 1154835197) is an individual family provider in Fort Defiance, Arizona, licensed in Colorado (APN.0997339-NP) and active in the NPI registry since November 2017. He is enrolled in Medicare PECOS and maintains a secondary practice location in Roanoke.
NPPES Registry Identity
Specialties & Licenses 4
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Samuel Bryan Wood is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Samuel Wood reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fort Defiance, AZ 86504
- Reassigned Medicare billing, Texas enrollment
- 518 clinicians in this Medicare group
Durango, CO 81301
- Reassigned Medicare billing, Colorado enrollment
- 468 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 86504 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FORT DEFIANCE, AZ 86504
FORT DEFIANCE, AZ 86504
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Samuel Wood's NPI number?
The NPI number for Samuel Wood is 1154835197. It was assigned to this individual provider in the NPPES registry on November 29, 2017.
Where is Samuel Wood located?
Samuel Wood practices at Corner Of Route N12 And N7, Fort Defiance, AZ 86504. The listed phone number is (928) 729-8600.
What is Samuel Wood's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Samuel Wood enrolled in Medicare?
Yes. Samuel Wood is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Samuel Wood's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Wood reassigns Medicare benefits to 2 organizations: The Fort Defiance Indian Hospital Board, Incorporation (Fort Defiance, AZ) and Usacs Of Colorado Inc (Durango, CO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Samuel Wood's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Samuel Wood accept?
Health plans from Blue Cross Blue Shield of Arizona and Select Health list Samuel Wood as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Samuel Wood was last updated on October 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Samuel Bryan Wood · NPI 1154835197
Family physician in Fort Defiance, Arizona. Individual provider, active in the CMS NPPES registry since November 29, 2017.
## Identity
- **NPI:** 1154835197 (Entity type: Individual)
- **Enumerated:** November 29, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** APN.0997339-NP (Colorado)
- **Sole proprietor:** No
## Practice location
- **Address:** CORNER OF ROUTE N12 AND N7, Fort Defiance, AZ 86504
- **Phone:** (928) 729-8600
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): The Fort Defiance Indian Hospital Board, Incorporation (NPI 1477876639, Fort Defiance, AZ); Usacs Of Colorado Inc (NPI 1235765074, Durango, CO) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 28, 2019
- **Other identifiers:** Medicaid 00000000000 (VA)
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Source: [NPI Profile](https://npiprofile.com/npi/1154835197) · Data from the CMS NPPES public registry.