BRIDGETTE ANN WOODALL (NP-C) – Family Nurse Practitioner, NPI 1558718650
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
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Provider Addresses for BRIDGETTE ANN WOODALL (NP-C)
215, East 1st Street, Dixon, Lee County, Illinois, 61021, United States
DIXON, IL 610213166
Phone: (815) 285-5422
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 39 Open Payments records for all available years, with a total value of $650.
Total Amount is formed as General ($650) + Research ($0) + Ownership ($0) = $650.
Last reported payment date: 2024-08-16 • Largest payer in this snapshot: Axonics, Inc. ($180).
Total Amount
$650
General + Research + Ownership
Payments
39
Total payment records
General Amount
$650
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Axonics, Inc. | $180 |
| PFIZER INC. | $144 |
| Sumitomo Pharma America, Inc. | $109 |
| ABBVIE INC. | $57 |
| Astellas Pharma US Inc | $44 |
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: 2016-08-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160815002975 | I | Nurse Practitioner | IL | TBD |
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.
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 61021)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | IL | |
| Nurse Practitioner | IL | |
| P O D I A T R Y | IL | |
| Family Practice | IL | |
| Nurse Practitioner | IL | |
| Occupational Therapist In Private Practice | IA | |
| Physician Assistant | IA | |
| Nurse Practitioner | IL | |
| - | IL | |
| Physician Assistant | FL |
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