LOIS DOMINIQUE WOODSIDE CRNP
NPI 1811329766
Nurse Practitioner in Philadelphia, PA
About Lois Dominique Woodside Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LOIS DOMINIQUE WOODSIDE CRNP (NPI 1811329766) is an individual nurse practitioner in Philadelphia, Pennsylvania, licensed in Pennsylvania (RN614739) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS, is affiliated with Cooper University Hospital, and maintains a secondary practice location in Camden.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Lois Dominique Woodside Crnp 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Cooper University Hospital
Acute Care Hospitals · Camden, NJPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
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 Lois Woodside's NPI number?
The NPI number for Lois Woodside is 1811329766. It was assigned to this individual provider in the NPPES registry on August 2, 2013.
Where is Lois Woodside located?
Lois Woodside practices at 3461 Civic Center Blvd, Philadelphia, PA 19104. The listed phone number is (215) 823-4526.
What is Lois Woodside's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Lois Woodside enrolled in Medicare?
Yes. Lois Woodside 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.
Is Lois Woodside affiliated with any hospitals?
According to CMS data, Lois Woodside is affiliated with Cooper University Hospital.
When was this NPI record last updated?
The NPPES record for Lois Woodside was last updated on December 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.
# Lois Dominique Woodside, CRNP · NPI 1811329766
Nurse Practitioner physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since August 2, 2013.
## Identity
- **NPI:** 1811329766 (Entity type: Individual)
- **Enumerated:** August 2, 2013
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** RN614739 (Pennsylvania)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3461 CIVIC CENTER BLVD, Philadelphia, PA 19104-4302
- **Phone:** (215) 823-4526
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** December 9, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1811329766) · Data from the CMS NPPES public registry.