TOYA JAMILLAH WOODS NURSE PRACTITIONER
NPI 1497382030
Nurse Practitioner - Primary Care in Hammond, IN

Active since March 24, 2020PECOS EnrolledAccepts Medicare Assignment
74.63/100
CMS Quality Rating
1009 5TH AVE, HAMMOND, IN 46320(219) 473-0722(219) 473-0728 Get Directions Write a Review

NPPES record last updated: September 7, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 7, 2023, Mar 24, 2020 (2 updates tracked since 2020).

About Toya Jamillah Woods Nurse Practitioner NPPES

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

TOYA JAMILLAH WOODS NURSE PRACTITIONER (NPI 1497382030) is an individual primary care provider in Hammond, Indiana, licensed in Indiana (71009867A) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1497382030
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameTOYA JAMILLAH WOODSCredential: NURSE PRACTITIONER
Location Address1009 5TH AVEHammond, IN 46320-1004
Mailing Address539 Superior AveCalumet City, IL 60409-3411 · (773) 209-3995
Fax(219) 473-0728
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 24, 2020
Last NPPES UpdateSeptember 7, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 7, 2023
✔ NPI 1497382030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in IN · 71009867A
1009 5TH AVE, Hammond, IN 46320

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Toya Jamillah Woods Nurse Practitioner 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 ID1557792462
PECOS Enrollment IDI20211201001623, I20251002001691
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Toya Woods reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urgent Care
31 SIBLEY ST, STE A
Hammond, IN 46320
  • Reassigned Medicare billing, Indiana enrollment
  • 83 clinicians in this Medicare group
Urgent Care
8135 CALUMET AVE
Munster, IN 46321
  • Reassigned Medicare billing, Indiana enrollment
  • 124 clinicians in this Medicare group
Gastroenterology
600 RICHARD GORDON HATCHER BLVD
Gary, IN 46402
  • Reassigned Medicare billing, Indiana enrollment
  • 201 clinicians in this Medicare group
Urgent Care
1500 INDIANAPOLIS BLVD
Schererville, IN 46375
  • Reassigned Medicare billing, Indiana enrollment
  • 119 clinicians in this Medicare group
Urgent Care
40 75TH ST
Willowbrook, IL 60527
  • Reassigned Medicare billing, Illinois enrollment
  • 410 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 9

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 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.
100 services94 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
79 services40 patients
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.
72 services64 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
49 services48 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
34 services27 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46320 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

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.

74.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.06
Improvement Activities40
Cost62.42

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner
1009 5TH AVE
HAMMOND, IN 46320
Clinic/Center (Urgent Care)
1009 5TH AVE
HAMMOND, IN 46320

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 Toya Woods's NPI number?

The NPI number for Toya Woods is 1497382030. It was assigned to this individual provider in the NPPES registry on March 24, 2020.

Where is Toya Woods located?

Toya Woods practices at 1009 5th Ave, Hammond, IN 46320. The listed phone number is (219) 473-0722.

What is Toya Woods's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Toya Woods enrolled in Medicare?

Yes. Toya 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.

Which organizations bill Medicare for Toya Woods's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Toya Woods reassigns Medicare benefits to 5 organizations: Midwest Express Care 4 LLC (Hammond, IN), Nwi Urgent Care, LLC (Munster, IN), The Methodist Hospitals, Inc (Gary, IN), Midwest Express Care, Inc (Schererville, IN) and Midwest Express Care 2, Inc (Willowbrook, IL). 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 Toya Woods's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Toya Woods accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Toya 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.

When was this NPI record last updated?

The NPPES record for Toya Woods was last updated on September 7, 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.