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NICOLE JOANNE WOODLEY M.D.
NPI 1992148985
Obstetrics & Gynecology in Luverne, MN

Active since April 09, 2013PECOS EnrolledAccepts Medicare Assignment
82.28/100
CMS Quality Rating
1601 SIOUX VALLEY DR, LUVERNE, MN 56156(507) 283-4476(507) 283-9086 Get Directions Write a Review

NPPES record last updated: November 11, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Nicole Joanne Woodley M.d. NPPES

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

NICOLE JOANNE WOODLEY M.D. (NPI 1992148985) is an individual obstetrics & gynecology provider in Luverne, Minnesota, licensed in Minnesota (61991) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS, is affiliated with Avera Mckennan Hospital & University Health Center, and is a graduate of University Of Minnesota Medical School (2013).

NPPES Registry Identity

NPI1992148985
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameNICOLE JOANNE WOODLEYCredential: M.D.
Location Address1601 SIOUX VALLEY DRLuverne, MN 56156-4500
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074
Phone(507) 283-4476
Fax(507) 283-9086
Sole ProprietorYes
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2013
Enumeration DateApril 9, 2013
Last NPPES UpdateNovember 11, 2019
✔ NPI 1992148985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in MN · 61991
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1601 SIOUX VALLEY DR, Luverne, MN 56156
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware and more.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

Nicole Joanne Woodley M.d. 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 ID4880999127
PECOS Enrollment IDI20250815000413
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 Reassignments

2

Medicare enrollment records show Nicole Woodley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sanford Health Network
Same address
Critical Access
1601 SIOUX VALLEY DR
Luverne, MN 56156
  • Reassigned Medicare billing, Minnesota enrollment
  • 60 clinicians in this Medicare group
NPI 1033495379 (507) 283-2321
Avera Mckennan
22 mi
Physical Therapy
103 N SPLITROCK BLVD
Brandon, SD 57005
  • Reassigned Medicare billing, South Dakota enrollment
  • 1,277 clinicians in this Medicare group
NPI 1346494697 (605) 582-3908

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.

Avera Mckennan Hospital & University Health Center

Acute Care Hospitals · Sioux Falls, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430016
Location1325 S Cliff AveSioux Falls, SD 57117 · Minnehaha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56156 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
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.

82.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.81
Promoting Interoperability99
Improvement Activities40
Cost52.95

Other Providers at the Same Location NPPES 18

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

SANFORD HEALTH NETWORK
General Acute Care Hospital (Critical Access)
1601 SIOUX VALLEY DR
LUVERNE, MN 56156
Rock County (507) 283-2321
GRACIE ODE MSW, BHC
Counselor (Mental Health)
1601 SIOUX VALLEY DR
LUVERNE, MN 56156
Rock County (507) 283-4476
MYLES ELDON TIESZEN MD
Surgery
1601 SIOUX VALLEY DR
LUVERNE, MN 56156
Rock County (507) 283-4476
MADISYN STEGENGA
Physical Therapist
1601 SIOUX VALLEY DR
LUVERNE, MN 56156
Rock County (507) 283-4476
SANFORD HEALTH NETWORK
Family Medicine
1601 SIOUX VALLEY DR
LUVERNE, MN 56156
Rock County (507) 283-4476
JONATHAN PAP CNP
Nurse Practitioner (Family)
1601 SIOUX VALLEY DR
LUVERNE, MN 56156
Rock County (507) 283-4476
MRS. EMILLY ANN EBEN PHARM.D.
Pharmacist
1601 SIOUX VALLEY DR
LUVERNE, MN 56156
Rock County (507) 283-4476
JENNIFER L THONE MD
Family Medicine
1601 SIOUX VALLEY DR
LUVERNE, MN 56156
Rock County (507) 283-4476

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 Nicole Woodley's NPI number?

The NPI number for Nicole Woodley is 1992148985. It was assigned to this individual provider in the NPPES registry on April 9, 2013.

Where is Nicole Woodley located?

Nicole Woodley practices at 1601 Sioux Valley Dr, Luverne, MN 56156. The listed phone number is (507) 283-4476.

What is Nicole Woodley's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Nicole Woodley enrolled in Medicare?

Yes. Nicole Woodley 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 organizations bill Medicare for Nicole Woodley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Woodley reassigns Medicare benefits to 2 organizations: Sanford Health Network (Luverne, MN) and Avera Mckennan (Brandon, SD). Each 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 Nicole Woodley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Woodley accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Avera Health Plans and Wellmark Health Plan of Iowa, Inc. and 1 other insurer list Nicole Woodley 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 Nicole Woodley affiliated with any hospitals?

According to CMS data, Nicole Woodley is affiliated with Avera Mckennan Hospital & University Health Center.

When was this NPI record last updated?

The NPPES record for Nicole Woodley was last updated on November 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.