DR. AUDREY M WOOTEN MD
NPI 1962466805
Family Medicine in Jacksonville, FL

Active since April 17, 2006PECOS Enrolled
120 KING ST, JACKSONVILLE, FL 32204(904) 760-4904 Get Directions Write a Review

NPPES record last updated: June 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 22, 2021, Nov 8, 2018 (2 updates tracked since 2018).

About Dr. Audrey M Wooten Md NPPES

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

DR. AUDREY M WOOTEN MD (NPI 1962466805) is an individual family medicine provider in Jacksonville, Florida, licensed in Florida (ME81284) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962466805
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. AUDREY M WOOTENCredential: MD
Location Address120 KING STJacksonville, FL 32204-2410
Mailing Address4205 Belfort Rd Ste 4015Jacksonville, FL 32216-3623
Sole ProprietorNo
Enumeration DateApril 17, 2006
Last NPPES UpdateJune 22, 20212 updates tracked since enumeration
NPPES CertifiedJune 22, 2021
NPI 1962466805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in FL · ME81284
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
120 KING ST, Jacksonville, FL 32204

Other Identifiers 1

Medicaid260472800FL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Audrey M Wooten Md 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 32204 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Reported Quality Measures

Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
38%55 patients2/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
84%55 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
5%55 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
31%55 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Nurse Practitioner (Pediatrics)
120 KING ST
JACKSONVILLE, FL 32204
Dental Hygienist
120 KING ST
JACKSONVILLE, FL 32204
Clinic/Center (Federally Qualified Health Center (FQHC))
120 KING ST, MC 75
JACKSONVILLE, FL 32204
Nurse Practitioner (Family)
120 KING ST
JACKSONVILLE, FL 32204
Dentist
120 KING ST
JACKSONVILLE, FL 32204
Pediatrics
120 KING ST
JACKSONVILLE, FL 32204
Nurse Practitioner (Pediatrics)
120 KING ST
JACKSONVILLE, FL 32204
Nurse Practitioner (Pediatrics)
120 KING ST
JACKSONVILLE, FL 32204

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 Audrey Wooten's NPI number?

The NPI number for Audrey Wooten is 1962466805. It was assigned to this individual provider in the NPPES registry on April 17, 2006.

Where is Audrey Wooten located?

Audrey Wooten practices at 120 King St, Jacksonville, FL 32204. The listed phone number is (904) 760-4904.

What is Audrey Wooten's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Audrey Wooten enrolled in Medicare?

Yes. Audrey Wooten is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Audrey Wooten was last updated on June 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.