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: July 19, 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
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

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

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 Enrollment Status

Jacquelyn Woodcock is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: No

Other Providers at the Same Location


The following 10 providers are registered at the same or a nearby location.

Orthopaedic Surgery
10122 E 10TH ST STE 230
INDIANAPOLIS, IN 46229
Podiatrist (Foot & Ankle Surgery)
10122 E 10TH ST STE 230
INDIANAPOLIS, IN 46229
Podiatrist
10122 E 10TH ST STE 230
INDIANAPOLIS, IN 46229
Student in an Organized Health Care Education/Training Program
10122 E 10TH ST STE 230
INDIANAPOLIS, IN 46229
Student in an Organized Health Care Education/Training Program
10122 E 10TH ST STE 230
INDIANAPOLIS, IN 46229
Student in an Organized Health Care Education/Training Program
10122 E 10TH ST STE 230
INDIANAPOLIS, IN 46229
Student in an Organized Health Care Education/Training Program
10122 E 10TH ST STE 230
INDIANAPOLIS, IN 46229
Podiatrist
10122 E 10TH ST STE 230
INDIANAPOLIS, IN 46229
Student in an Organized Health Care Education/Training Program
10122 E 10TH ST STE 230
INDIANAPOLIS, IN 46229
Student in an Organized Health Care Education/Training Program
10122 E 10TH ST STE 230
INDIANAPOLIS, IN 46229

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255919957, enumerated as an "individual" on April 01, 2021.

The provider is located at 10122 E 10TH ST STE 230 INDIANAPOLIS, IN 46229 and the phone number is (173) 355-7356.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.