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DI'ARA WOODS PA-C
NPI 1497115497
Physician Assistant in Edwardsville, IL

Active since March 03, 2016PECOS Enrolled
3 CLUB CENTRE CT STE B1, EDWARDSVILLE, IL 62025(618) 699-4402 Get Directions Write a Review

NPPES record last updated: April 24, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 22, 2018, Mar 3, 2016 (2 updates tracked since 2016).

About Di'ara Woods Pa-c NPPES

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

DI'ARA WOODS PA-C (NPI 1497115497) is an individual physician assistant in Edwardsville, Illinois and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497115497
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameDI'ARA WOODSCredential: PA-C
Location Address3 CLUB CENTRE CT STE B1Edwardsville, IL 62025-3519
Mailing Address403 Glen Carbon RdGlen Carbon, IL 62034-2965 · (314) 749-8906
Phone(618) 699-4402
Sole ProprietorNo
Enumeration DateMarch 3, 2016
Last NPPES UpdateApril 24, 20232 updates tracked since enumeration
NPPES CertifiedApril 24, 2023
✔ NPI 1497115497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3 CLUB CENTRE CT STE B1, Edwardsville, IL 62025
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Other Identifiers 2

OtherPENDINGMO · Rr Medicare
MedicaidPENDINGMO

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Di'ara Woods Pa-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62025 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$70.42 typical visit price
range $17.51 – $139.99
Typical copayment $17.60 (range $4.37 – $34.99)
Most-billed visit code 99213
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

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

FULFILLING LIFE PLLC
Specialist
3 CLUB CENTRE CT STE B1
EDWARDSVILLE, IL 62025
Madison County (618) 699-4402

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 Di'ara Woods's NPI number?

The NPI number for Di'ara Woods is 1497115497. It was assigned to this individual provider in the NPPES registry on March 3, 2016.

Where is Di'ara Woods located?

Di'ara Woods practices at 3 Club Centre Ct Ste B1, Edwardsville, IL 62025. The listed phone number is (618) 699-4402.

What is Di'ara Woods's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Di'ara Woods enrolled in Medicare?

Yes. Di'ara Woods is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Di'ara Woods was last updated on April 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.