ELISE NICHOLE WOODSIDE (FNP-BC) – Family Nurse Practitioner, NPI 1295288256

ELISE NICHOLE WOODSIDE (FNP-BC) is a healthcare provider. based in Irving, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. AP141977 (TX). The NPI Number for ELISE NICHOLE WOODSIDE (FNP-BC) is 1295288256

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
ELISE NICHOLE WOODSIDE (FNP-BC)
NPI
1295288256
Phone
(972) 518-1325
Address
5500 N MACARTHUR BLVD
Enumeration Date
26 July 2016
Last Update Date
1 October 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8173558000
Graduation Year
2016 (10 years ago)
PAC ID
1557641503
Group Practice PAC ID
9133160088
Professional Enrollment ID
I20221101002766
Address ID
TX760345915CO5207XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

8,307 NURSE PRACTITIONER in VA

Provider Addresses for ELISE NICHOLE WOODSIDE (FNP-BC)

  • 5500, North MacArthur Boulevard, Las Colinas, Irving, Dallas County, Texas, 75038, United States

    IRVING, TX 750382603

    Phone: (972) 518-1325

    Fax: (757) 446-7049

    Type: Mailing

  • 825 Fairfax Ave

    Suite 201

    Norfolk, VA 235071914

    Phone: (757) 446-7040

    Fax: (757) 446-7049

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 92 Open Payments records for all available years, with a total value of $1,857.

Total Amount is formed as General ($1,857) + Research ($0) + Ownership ($0) = $1,857.

Last reported payment date: 2024-07-17 • Largest payer in this snapshot: Lilly USA, LLC ($407).

Total Amount

$1,857

General + Research + Ownership

Payments

92

Total payment records

General Amount

$1,857

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-17

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: 2022-11-01

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20221101002766INurse PractitionerTXTBD

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 75038)

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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: 9133160088View full group profile
NameSpecialtyState
Pediatric Medicine, Internal MedicineTX
C H I R O P R A C T I CTX
-OH
Family PracticeTX
Nurse PractitionerTX
Physician AssistantTX
Physician AssistantFL
Family PracticeTX
Family PracticeTX
Family PracticeTX

Reviews

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Frequently asked questions

Where can patients find ELISE NICHOLE WOODSIDE (FNP-BC)'s NPI?
You can confirm ELISE NICHOLE WOODSIDE (FNP-BC) with NPI 1295288256; it appears in the national provider directory.
Is ELISE NICHOLE WOODSIDE (FNP-BC)'s NPI currently valid?
The extract we use shows ELISE NICHOLE WOODSIDE (FNP-BC) as active.
What kind of provider is ELISE NICHOLE WOODSIDE (FNP-BC)?
The page reflects Family Nurse Practitioner for ELISE NICHOLE WOODSIDE (FNP-BC). Clinical services aligned with this taxonomy classification.
What location metadata exists for ELISE NICHOLE WOODSIDE (FNP-BC)?
The page summarizes Irving, Texas for ELISE NICHOLE WOODSIDE (FNP-BC); expand the address list for detail.
What if Irving, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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