MILDRED SUE WOODRUFF (APRN, BSN, MSN, FNP) – Family Nurse Practitioner, NPI 1629362199

MILDRED SUE WOODRUFF (APRN, BSN, MSN, FNP) is a healthcare provider. based in Fort pierce, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN, BSN, MSN, FNP. They hold a License No. 28196047A (IN). The NPI Number for MILDRED SUE WOODRUFF (APRN, BSN, MSN, FNP) is 1629362199

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
MILDRED SUE WOODRUFF (APRN, BSN, MSN, FNP)
NPI
1629362199
Phone
(772) 461-1402
Address
1505 DELAWARE AVE
Enumeration Date
2 June 2011
Last Update Date
9 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2604839081
Graduation Year
2014 (12 years ago)
PAC ID
5890963193
Group Practice PAC ID
2466407713
Professional Enrollment ID
I20250116002700
Address ID
OH430261160HI3958XDRXX403
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience86
Completeness75
Years active:15State licenses:4Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for MILDRED SUE WOODRUFF (APRN, BSN, MSN, FNP)

  • 1505 DELAWARE AVE

    FORT PIERCE, FL 349503975

    Phone: (772) 461-1402

    Fax: (561) 847-2306

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $53.

Total Amount is formed as General ($53) + Research ($0) + Ownership ($0) = $53.

Last reported payment date: 2023-10-23 • Largest payer in this snapshot: Hologic Sales and Service, LLC ($21).

Total Amount

$53

General + Research + Ownership

Payments

3

Total payment records

General Amount

$53

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-23

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-01-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150218001029INurse PractitionerFLTBD
I20250116002700INurse PractitionerOHTBD
I20250124003565INurse PractitionerVATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 34950)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2466407713View full group profile
NameSpecialtyState
Internal MedicineOH
Clinical PsychologistKY
Nurse PractitionerIN
Nurse PractitionerIN
-IN
-IN
-IN
Nurse PractitionerIN
Clinical Social WorkerKY
P S Y C H I A T R YCA

Reviews

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Frequently asked questions

Is there an official ID for MILDRED SUE WOODRUFF (APRN, BSN, MSN, FNP) in U.S. healthcare records?
The official identifier for MILDRED SUE WOODRUFF (APRN, BSN, MSN, FNP) is NPI 1629362199.
Is MILDRED SUE WOODRUFF (APRN, BSN, MSN, FNP) still an active registrant?
MILDRED SUE WOODRUFF (APRN, BSN, MSN, FNP) carries an active NPI according to the public dataset.
What kind of doctor is MILDRED SUE WOODRUFF (APRN, BSN, MSN, FNP)?
MILDRED SUE WOODRUFF (APRN, BSN, MSN, FNP) is associated with Family Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Is MILDRED SUE WOODRUFF (APRN, BSN, MSN, FNP) associated with Fort Pierce?
Public fields place MILDRED SUE WOODRUFF (APRN, BSN, MSN, FNP) around Fort Pierce, Florida. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for MILDRED SUE WOODRUFF (APRN, BSN, MSN, FNP) is noted as June 2, 2011 where the registry provides it.

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