Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1629390349 Individual Practitioner Female Practitioner

Maryann J Woodruff , LPN

Licensed Practical Nurse • Olean, NY

Professional Overview & Biography Verified Profile Summary

Maryann Woodruff, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Olean, NY. Practice services are available at 1355 OLEAN PORTVILLE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1355 Olean Portville Rd

Olean, NY 147609416

Telephone 7163730021
Fax 7163731710
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Olean, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.0 Yrs
Regional Practice Density
42 Specialists

Practicing in Olean, NY (23738 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-10-16
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License NY 276640-01

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
161039939 (NY)
Commercial Insurance / Payer ID All Other Insurances
161039939 (NY)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Nikita Schultz

Licensed Practical Nurse

NPI 1053140590
Brittany Shively

Registered Nurse

NPI 1144048885
Cearah Tremblay , LMHC

Counselor - Mental Health

NPI 1437027265

Licensed Mental Health Counselor

Chelsey Pierce

Social Worker

NPI 1629792155
Pearl Harris

Licensed Practical Nurse

NPI 1659240166
Katie Smith

Registered Nurse

NPI 1962268128

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location October 16, 2024

Registered at 1355 OLEAN PORTVILLE RD, OLEAN, NY 147609416 (Tel: 7163730021)

📍
Updated Business Mailing Address October 16, 2024

Registered at 2839 ROGERS RD, ALLEGANY, NY 147069641 (Tel: 5853076331)

👤
Provider Name / Credentials Updated October 16, 2024

Recorded as MARYANN WOODRUFF, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 16, 2024

Licensed Practical Nurse (License #276640-01 in NY)

NPI Profile Active February 22, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location February 22, 2010

Registered at 21 MILL ST, DELEVAN, NY 140429703 (Tel: 7162588021)

📍
Updated Business Mailing Address February 22, 2010

Registered at PO BOX 254, MACHIAS, NY 141010254 (Tel: 7162588021)

👤
Provider Name / Credentials Updated February 22, 2010

Recorded as MARYANN FANCHER, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 22, 2010

Licensed Practical Nurse (License #276640 in NY)

🟢
Initial NPI Registration & Enumeration February 22, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1629390349
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 22, 2010
Last Update: October 16, 2024
Sole Proprietor: Yes

Mailing Address

2839 Rogers Rd

Allegany, NY 147069641

Phone: 5853076331

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.