TINA MARIE WOODROME-NETHERY (APRN) – Nurse Practitioner, NPI 1962759274

TINA MARIE WOODROME-NETHERY (APRN) is a healthcare provider. based in Louisville, Kentucky. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 1105062 (KY). The NPI Number for TINA MARIE WOODROME-NETHERY (APRN) is 1962759274

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
TINA MARIE WOODROME-NETHERY (APRN)
NPI
1962759274
Phone
(502) 543-4119
Address
6801 DIXIE HWY
Enumeration Date
7 August 2012
Last Update Date
4 June 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5025254376
Graduation Year
2012 (14 years ago)
PAC ID
4183872021
Group Practice PAC ID
3274953526
Professional Enrollment ID
I20140326002168
Address ID
IN471509579NE3104XBLVD300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

8,192 NURSE PRACTITIONER in IN

Provider Addresses for TINA MARIE WOODROME-NETHERY (APRN)

  • 6801 DIXIE HWY

    SUITE 130

    LOUISVILLE, KY 402583913

    Phone: (502) 543-4119

    Fax: (502) 543-1462

    Type: Mailing

  • 2205 GREENTREE N

    CLARKSVILLE, IN 47129

    Phone: (812) 283-4441

    Fax: (812) 288-2605

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2014-03-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20120918000366INurse PractitionerKYTBD
I20140326002168INurse PractitionerINTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes441128$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes19075$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes15884$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes124110$0
View full utilization report →

Insurance plans in this area (ZIP 40258)

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Provider's Procedures

TINA MARIE WOODROME-NETHERY (APRN) performs procedures in NURSE PRACTITIONER. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERKY85610Blood test, clotting time3115

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: 3274953526View full group profile
NameSpecialtyState
Internal Medicine, Geriatric MedicineIN
Nurse PractitionerIN
Physician AssistantKY
Nurse PractitionerIN
Physician AssistantIN
Physician AssistantIN

Reviews

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Frequently asked questions

Where can patients find TINA MARIE WOODROME-NETHERY (APRN)'s NPI?
You can confirm TINA MARIE WOODROME-NETHERY (APRN) with NPI 1962759274; it appears in the national provider directory.
Is TINA MARIE WOODROME-NETHERY (APRN)'s NPI currently valid?
The extract we use shows TINA MARIE WOODROME-NETHERY (APRN) as active.
Does TINA MARIE WOODROME-NETHERY (APRN) list a primary specialty?
If you are matching referrals, note Nurse Practitioner for TINA MARIE WOODROME-NETHERY (APRN). Clinical services aligned with this taxonomy classification.
Where is TINA MARIE WOODROME-NETHERY (APRN)'s primary listing?
We display Louisville, Kentucky because that is what the record indicates for TINA MARIE WOODROME-NETHERY (APRN).
What if Louisville, Kentucky seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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