SAMUEL EDMOND WOODS NP
NPI 1184274086
Nurse Practitioner - Family in Grand Rapids, MI

Active since September 13, 2019PECOS EnrolledAccepts Medicare Assignment
200 JEFFERSON AVE SE, GRAND RAPIDS, MI 49503(616) 685-5000 Get Directions Write a Review

NPPES record last updated: September 16, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 16, 2019, Sep 13, 2019 (2 updates tracked since 2019).

About Samuel Edmond Woods Np NPPES

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

SAMUEL EDMOND WOODS NP (NPI 1184274086) is an individual family provider in Grand Rapids, Michigan, licensed in Michigan (4704272884) and active in the NPI registry since September 2019. He is enrolled in Medicare PECOS, is affiliated with Mercy Health Saint Mary's, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1184274086
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameSAMUEL EDMOND WOODSCredential: NP
Location Address200 JEFFERSON AVE SEGrand Rapids, MI 49503-4502
Mailing AddressPo Box 74007185Chicago, IL 60674-7185 · (855) 691-9890 · Fax (781) 276-6403
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 13, 2019
Last NPPES UpdateSeptember 16, 20192 updates tracked since enumeration
NPI 1184274086 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 MI · 4704272884
200 JEFFERSON AVE SE, Grand Rapids, MI 49503

Accepted 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

Samuel Edmond Woods Np 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 ID42622706
PECOS Enrollment IDI20201222001547
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.

Areas of Expertise CMS Part B claims 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
76 services55 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
71 services55 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Health Saint Mary's

Acute Care Hospitals · Grand Rapids, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230059
Location200 Jefferson Avenue SEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49503 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 20

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

Physical Therapist
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Nurse Anesthetist, Certified Registered
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Emergency Medicine
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Pediatrics (Neonatal-Perinatal Medicine)
200 JEFFERSON AVE SE, NICU
GRAND RAPIDS, MI 49503
Durable Medical Equipment & Medical Supplies
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Occupational Therapist
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Nurse Practitioner (Family)
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Registered Nurse
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503

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 Woods's NPI number?

The NPI number for Samuel Woods is 1184274086. It was assigned to this individual provider in the NPPES registry on September 13, 2019.

Where is Samuel Woods located?

Samuel Woods practices at 200 Jefferson Ave SE, Grand Rapids, MI 49503. The listed phone number is (616) 685-5000.

What is Samuel Woods's specialty?

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

Is Samuel Woods enrolled in Medicare?

Yes. Samuel Woods is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Samuel Woods accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Samuel Woods 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.

Is Samuel Woods affiliated with any hospitals?

According to CMS data, Samuel Woods is affiliated with Mercy Health Saint Mary's.

When was this NPI record last updated?

The NPPES record for Samuel Woods was last updated on September 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.