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JACQUELYN NICOLE WOODCOCK DPM
NPI 1255919957
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Active since April 01, 2021PECOS Enrolled
10122 E 10TH ST STE 230, INDIANAPOLIS, IN 46229(173) 355-7356 Get Directions Write a Review

NPPES record last updated: June 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 19, 2024, Apr 10, 2024, Apr 1, 2021 (3 updates tracked since 2021).

About Jacquelyn Nicole Woodcock Dpm NPPES

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

JACQUELYN NICOLE WOODCOCK DPM (NPI 1255919957) is an individual student in an organized health care education/training program in Indianapolis, Indiana, licensed in Indiana (41000489A) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Walnut Creek.

NPPES Registry Identity

NPI1255919957
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJACQUELYN NICOLE WOODCOCKCredential: DPM
Location Address10122 E 10TH ST STE 230Indianapolis, IN 46229-2664
Mailing Address10122 E 10th St Ste 230Indianapolis, IN 46229-2664 · (173) 355-7356
Phone(173) 355-7356
Sole ProprietorNo
Enumeration DateApril 1, 2021
Last NPPES UpdateJune 19, 20243 updates tracked since enumeration
NPPES CertifiedJune 19, 2024
✔ NPI 1255919957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in IN · 41000489A
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
10122 E 10TH ST STE 230, Indianapolis, IN 46229
Open in Google Maps ↗

Secondary Practice Location 1

Location 1115 Hogan Ct Apt 2Walnut Creek, CA 94598-1328 · Phone (925) 856-7182

Other Identifiers 1

Medicaid300091875IN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacquelyn Nicole Woodcock Dpm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 13

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

BRENDAN MICHAEL RAY DPM
Student in an Organized Health Care Education/Training Program
10122 E 10TH ST STE 230
INDIANAPOLIS, IN 46229
Marion County (317) 355-7356
TASSAWAR FAROOQ DPM
Student in an Organized Health Care Education/Training Program
10122 E 10TH ST STE 230
INDIANAPOLIS, IN 46229
Marion County (317) 355-7356
IMANI GRAHAM DPM
Student in an Organized Health Care Education/Training Program
10122 E 10TH ST STE 230
INDIANAPOLIS, IN 46229
Marion County (317) 355-7356
GREGORY W BOAKE D.P.M.
Podiatrist
10122 E 10TH ST STE 230
INDIANAPOLIS, IN 46229
Marion County (317) 355-7356
YOUSSEF MOUSTAFA DPM
Student in an Organized Health Care Education/Training Program
10122 E 10TH ST STE 230
INDIANAPOLIS, IN 46229
Marion County (173) 355-7356
DR. COREY NATHANIAL GROH D.P.M.
Podiatrist
10122 E 10TH ST STE 230
INDIANAPOLIS, IN 46229
Marion County (317) 355-7120
KRISTEN LILE DPM
Student in an Organized Health Care Education/Training Program
10122 E 10TH ST STE 230
INDIANAPOLIS, IN 46229
Marion County (317) 355-7356
WILLIAM EVANS
Student in an Organized Health Care Education/Training Program
10122 E 10TH ST STE 230
INDIANAPOLIS, IN 46229
Marion County (317) 355-7356

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 Jacquelyn Woodcock's NPI number?

The NPI number for Jacquelyn Woodcock is 1255919957. It was assigned to this individual provider in the NPPES registry on April 1, 2021.

Where is Jacquelyn Woodcock located?

Jacquelyn Woodcock practices at 10122 E 10th St Ste 230, Indianapolis, IN 46229. The listed phone number is (173) 355-7356.

What is Jacquelyn Woodcock's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jacquelyn Woodcock enrolled in Medicare?

Yes. Jacquelyn Woodcock is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacquelyn Woodcock was last updated on June 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.