Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JACKIE MARLENE WOODSIDE APRN
NPI 1982310710
Nurse Practitioner - Gerontology in Narragansett, RI

Q: What is Jackie Woodside's NPI number?

The NPI number for Jackie Woodside is 1982310710. It was assigned to this individual provider in the NPPES registry on January 25, 2023.

Q: What is Jackie Woodside's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Jackie Woodside was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 days 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.

Active since January 25, 2023PECOS Enrolled

14 WOODRUFF AVE STE 1, NARRAGANSETT, RI 02882(401) 789-8543(401) 782-8766 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 9, 2026, Jul 31, 2024, Jan 25, 2023 (3 updates tracked since 2023).

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About Jackie Marlene Woodside Aprn NPPES

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

JACKIE MARLENE WOODSIDE APRN (NPI 1982310710) is an individual gerontology provider in Narragansett, Rhode Island, licensed in Rhode Island (APRN04100) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS, is affiliated with South County Hospital Inc, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1982310710

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameJACKIE MARLENE WOODSIDECredential: APRN

Location Address14 WOODRUFF AVE STE 1Narragansett, RI 02882-3467

Mailing AddressPo Box 229Wakefield, RI 02880-0229 · (401) 788-3929 · Fax (401) 788-3939

Phone(401) 789-8543

Fax(401) 782-8766

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateJanuary 25, 2023

Last NPPES UpdateJuly 9, 20263 updates tracked since enumeration

NPPES CertifiedJuly 9, 2026

✔ NPI 1982310710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in RI · APRN04100

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License RN58926 (RI)

14 WOODRUFF AVE STE 1, Narragansett, RI 02882

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Secondary Practice Locations 4

Location 1268 Post Rd Ste 203Westerly, RI 02891-6601 · Phone (401) 604-2530 · Fax (401) 604-2560

Location 23461 S County Trl Ste 301East Greenwich, RI 02818-1463 · Phone (401) 471-6760 · Fax (401) 471-6765

Location 3120 Centerville Rd Ste 2Warwick, RI 02886-4336 · Phone (401) 562-1020 · Fax (401) 562-1056

Location 451 Old Mill RdCharlestown, RI 02813-3322 · Phone (401) 364-1268

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jackie Marlene Woodside Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9032640479

PECOS Enrollment IDI20241009001825

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.

Hospital Affiliations CMS Care Compare

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

South County Hospital Inc

Acute Care Hospitals · Wakefield, RI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number410008

Location100 Kenyon AveWakefield, RI 02879 · Washington County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02882 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

$90.48 typical visit price

range $58.57 – $177.03

Typical copayment $22.62 (range $14.64 – $44.25)

Most-billed visit code 99203

Established Patient

$103.10 typical visit price

range $18.92 – $144.38

Typical copayment $25.77 (range $4.73 – $36.09)

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 6

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

MS. LEA ALEXIS IACOBBO PA-C

Physician Assistant (Medical)