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: August 02, 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
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

Accepted Insurance

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

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.

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.

General Acute Care Hospital (Critical Access)
1601 SIOUX VALLEY DR
LUVERNE, MN 56156
Counselor (Mental Health)
1601 SIOUX VALLEY DR
LUVERNE, MN 56156
Surgery
1601 SIOUX VALLEY DR
LUVERNE, MN 56156
Physical Therapist
1601 SIOUX VALLEY DR
LUVERNE, MN 56156
Family Medicine
1601 SIOUX VALLEY DR
LUVERNE, MN 56156
Nurse Practitioner (Family)
1601 SIOUX VALLEY DR
LUVERNE, MN 56156
Pharmacist
1601 SIOUX VALLEY DR
LUVERNE, MN 56156
Family Medicine
1601 SIOUX VALLEY DR
LUVERNE, MN 56156

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.

What insurance does Nicole Woodley accept?

Health plans from Avera Health Plans, Medica and Security Health Plan 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.