JUSTIN MICHAEL WOODRUFF (NP-C) – Family Nurse Practitioner, NPI 1063020949

JUSTIN MICHAEL WOODRUFF (NP-C) is a healthcare provider. based in Brigham city, Utah. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-C. They hold a License No. 9391864-4405 (UT). The NPI Number for JUSTIN MICHAEL WOODRUFF (NP-C) is 1063020949

Main info

Male
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
JUSTIN MICHAEL WOODRUFF (NP-C)
NPI
1063020949
Phone
(435) 734-9449
Address
663 PARKER LANE
Enumeration Date
16 July 2020
Last Update Date
9 October 2020

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4357520750
Graduation Year
2020 (6 years ago)
PAC ID
3072926401
Group Practice PAC ID
0840102356
Professional Enrollment ID
I20210104001649
Address ID
UT843214034LO90XXX200X300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

2,655 NURSE PRACTITIONER in UT

Provider Addresses for JUSTIN MICHAEL WOODRUFF (NP-C)

  • 663 PARKER LANE

    BRIGHAM CITY, UT 84302

    Phone: (435) 734-9449

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 123 Open Payments records for all available years, with a total value of $24,433.

Total Amount is formed as General ($24,433) + Research ($0) + Ownership ($0) = $24,433.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: ABBVIE INC. ($23,265).

Total Amount

$24,433

General + Research + Ownership

Payments

123

Total payment records

General Amount

$24,433

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

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: 2021-01-04

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
I20210104001649INurse PractitionerUTTBD

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 84302)

Loading plans...

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: 0840102356View full group profile
NameSpecialtyState
-UT
Clinical Social WorkerUT
Clinical PsychologistUT
Nurse PractitionerNV
Nurse PractitionerUT
Clinical Social WorkerUT
Clinical Social WorkerUT
Mental Health CounselorUT
Marriage And Family TherapistUT
Clinical Social WorkerUT

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Is JUSTIN MICHAEL WOODRUFF (NP-C) listed with a National Provider Identifier?
Yes — JUSTIN MICHAEL WOODRUFF (NP-C) has NPI 1063020949 on file in the registry.
Active or inactive — what applies to JUSTIN MICHAEL WOODRUFF (NP-C)?
You should see JUSTIN MICHAEL WOODRUFF (NP-C) as active in CMS-hosted NPPES data.
What area of care is associated with JUSTIN MICHAEL WOODRUFF (NP-C)?
JUSTIN MICHAEL WOODRUFF (NP-C)'s record emphasizes Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for JUSTIN MICHAEL WOODRUFF (NP-C)?
Travel planning: use Brigham City, Utah as the reference point for JUSTIN MICHAEL WOODRUFF (NP-C), then confirm.
When was this NPI issued?
Enumeration for JUSTIN MICHAEL WOODRUFF (NP-C) is noted as July 16, 2020 where the registry provides it.

Similar Providers

JULIE C. CHILD (FNP-BC)

Family Nurse Practitioner
Medical Drive, Brigham City, Box Elder County, Utah, 84302, United States
NPI: 1437147576
547, West 2550 North, Pleasant View, Weber County, Utah, 84414, United States
NPI: 1306002852

MRS. CYNTHIA DUKE HAZELWOOD (APRN)

Family Nurse Practitioner
6781 N 2100 E
NPI: 1922242262

Box Elder Community Health Center

Family Medicine Physician
325 WEST LOGAN HIGHWAY
NPI: 1629309786

LINDEE P ALLEN (FNP)

Family Nurse Practitioner
PO BOX 719
NPI: 1194038489

Utah Behavior Services

Behavior Analyst
6013 S REDWOOD RD
NPI: 1104119619

KELLIE NIELSEN (APRN, FNP)

Family Nurse Practitioner
Brigham City, Box Elder County, Utah, United States
NPI: 1992154777

KELSEY BYWATER (FNP)

Family Nurse Practitioner
984 MEDICAL DR STE 1
NPI: 1629508403

RACHEL ZORKO BURRIS (APRN, FNP-C)

Family Nurse Practitioner
984 MEDICAL DR STE 1
NPI: 1851894752