LANCE RAYMOND WOODY AGACNP-BC
NPI 1699296772
Nurse Practitioner - Acute Care in Detroit, MI

Active since June 29, 2017PECOS EnrolledAccepts Medicare Assignment
22101 MOROSS RD, DETROIT, MI 48236(313) 343-3605 Get Directions Write a Review

NPPES record last updated: September 2, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 2, 2022, Jun 29, 2017 (2 updates tracked since 2017).

About Lance Raymond Woody Agacnp-bc NPPES

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

LANCE RAYMOND WOODY AGACNP-BC (NPI 1699296772) is an individual acute care provider in Detroit, Michigan, licensed in Michigan (4704273806) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS, is affiliated with Ascension St John Hospital, and maintains a secondary practice location in Saint Clair Shores.

NPPES Registry Identity

NPI1699296772
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameLANCE RAYMOND WOODYCredential: AGACNP-BC
Location Address22101 MOROSS RDDetroit, MI 48236-2148
Mailing Address22101 Moross RdDetroit, MI 48236-2148 · (313) 343-3605
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 29, 2017
Last NPPES UpdateSeptember 2, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2022
✔ NPI 1699296772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in MI · 4704273806
22101 MOROSS RD, Detroit, MI 48236

Secondary Practice Location 1

Location 122622 OConnor StSaint Clair Shores, MI 48080-4122 · Phone (586) 215-7241

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

Lance Raymond Woody Agacnp-bc 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 ID4183955511
PECOS Enrollment IDI20191015003261
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 Reassignment

Medicare enrollment records show Lance Woody reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Social Worker
22101 MOROSS RD
Detroit, MI 48236
  • Reassigned Medicare billing, Michigan enrollment
  • 520 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.

Hospital Affiliations CMS Care Compare

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

Ascension St John Hospital

Acute Care Hospitals · Detroit, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230165
Location22101 Moross RdDetroit, MI 48236 · Wayne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48236 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

Social Worker (Clinical)
22101 MOROSS RD
DETROIT, MI 48236
Pathology (Anatomic Pathology & Clinical Pathology)
22101 MOROSS RD
DETROIT, MI 48236
Nurse Practitioner (Acute Care)
22101 MOROSS RD
DETROIT, MI 48236
Anesthesiology
22101 MOROSS RD
DETROIT, MI 48236
Physical Therapist
22101 MOROSS RD
DETROIT, MI 48236
Pathology (Anatomic Pathology & Clinical Pathology)
22101 MOROSS RD
DETROIT, MI 48236
Clinic/Center
22101 MOROSS RD
DETROIT, MI 48236
Internal Medicine
22101 MOROSS RD, PB2 SUITE 50
DETROIT, MI 48236

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 Lance Woody's NPI number?

The NPI number for Lance Woody is 1699296772. It was assigned to this individual provider in the NPPES registry on June 29, 2017.

Where is Lance Woody located?

Lance Woody practices at 22101 Moross Rd, Detroit, MI 48236. The listed phone number is (313) 343-3605.

What is Lance Woody's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Lance Woody enrolled in Medicare?

Yes. Lance Woody 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 organization bills Medicare for Lance Woody's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lance Woody reassigns Medicare benefits to Henry Ford Health St. John Hospital (Detroit, MI). The 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 Lance Woody's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lance Woody accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Lance Woody 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 Lance Woody affiliated with any hospitals?

According to CMS data, Lance Woody is affiliated with Ascension St John Hospital.

When was this NPI record last updated?

The NPPES record for Lance Woody was last updated on September 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.