Wyatt Woodard Msn Fnp PC
NPI 1720082621 · Primary Care Nurse Practitioner · Flagstaff, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Wyatt Woodard Msn Fnp PC is a Primary Care Nurse Practitioner organization in Flagstaff, AZ (NPI 1720082621).
Provider details
- NPI number
- 1720082621
- Entity type
- Organization
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Wyatt Woodard, Owner(928) 779-0361
- License
- AP1235 (AZ)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
21 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-06-08
- Last updated
- 2011-06-08
Frequently asked questions
- What is Wyatt Woodard Msn Fnp PC's NPI number?
- Wyatt Woodard Msn Fnp PC's National Provider Identifier (NPI) is 1720082621, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wyatt Woodard Msn Fnp PC?
- Wyatt Woodard Msn Fnp PC is classified in the NPPES registry as Primary Care Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Wyatt Woodard Msn Fnp PC located?
- Wyatt Woodard Msn Fnp PC's practice location on file with NPPES is 320 N Leroux St, Flagstaff, AZ 86001-4535.
- What is Wyatt Woodard Msn Fnp PC's phone number?
- The practice phone number listed in the NPPES registry for Wyatt Woodard Msn Fnp PC is (928) 779-0361.
- Does Wyatt Woodard Msn Fnp PC accept Medicare?
- Wyatt Woodard Msn Fnp PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Wyatt Woodard Msn Fnp PC?
- The authorized official listed on Wyatt Woodard Msn Fnp PC's NPPES record is Wyatt Woodard, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wyatt Woodard Msn Fnp PC's NPI active?
- Yes — Wyatt Woodard Msn Fnp PC's NPI (1720082621) is active in the NPPES registry as of the last update on 2011-06-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.