LOIS DOMINIQUE WOODSIDE CRNP
NPI 1811329766
Nurse Practitioner in Philadelphia, PA

Active since August 02, 2013PECOS Enrolled
3461 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104(215) 823-4526 Get Directions Write a Review

NPPES record last updated: December 9, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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 and maintains a secondary practice location in Camden.

NPPES Registry Identity

NPI1811329766
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameLOIS DOMINIQUE WOODSIDECredential: CRNP
Location Address3461 CIVIC CENTER BLVDPhiladelphia, PA 19104-4302
Mailing Address1 Federal St Ste 200Camden, NJ 08103-1088 · (848) 288-6935
Sole ProprietorYes
Enumeration DateAugust 2, 2013
Last NPPES UpdateDecember 9, 2025
NPPES CertifiedDecember 9, 2025
NPI 1811329766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses Licensed in PA · RN614739 Licensed in NJ · 26NJ15452500
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License RN614739 (PA)
3461 CIVIC CENTER BLVD, Philadelphia, PA 19104

Secondary Practice Location 1

Location 13 Cooper Plz Rm 513Camden, NJ 08103-1438 · Phone (856) 963-3518

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Lois Dominique Woodside Crnp 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 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.

New Patient
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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 10

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

Nurse Practitioner (Gerontology)
3461 CIVIC CENTER BLVD, COMMUNITY LIVING CENTER
PHILADELPHIA, PA 19104
Nurse Practitioner
3461 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Nurse Practitioner (Adult Health)
3461 CIVIC CENTER BLVD, NURSING HOME CARE UNIT
PHILADELPHIA, PA 19104
Pharmacist
3461 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Nurse Practitioner (Gerontology)
3461 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Nurse Practitioner (Adult Health)
3461 CIVIC CENTER BLVD
PHILA, PA 19104
Occupational Therapy Assistant
3461 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Physical Therapist
3461 CIVIC CENTER BLVD
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 enrollment system.

When was this NPI record last updated?

The NPPES record for Lois Woodside was last updated on December 9, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.