Active NPI 1184676777 Individual Practitioner Female Practitioner

Vickie A. Woods-Modeland , PNP

Nurse Practitioner - Pediatrics • Conroe, TX

Professional Overview & Biography Verified Profile Summary

Vickie Woods-Modeland, PNP is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Conroe, TX. Practice services are available at 701 E DAVIS ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

701 E Davis St
Ste. A

Conroe, TX 773013018

Telephone 9365252800

Fax 9365394668

Associated Practice Facility / Clinic

🏢 Utmb Regional Maternal And Child Health Program Facility NPI 1396822557

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Conroe, TX

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 7.0 Yrs

State Avg: 8.0 Yrs

Regional Practice Density

15 Specialists

Practicing in Conroe, TX (2253 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: 2023-08-29

Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License TX 239394

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

125368405 (TX)

Practice Associates & Co-Workers

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

10 Associated Practitioners

Linda Otto , RN

Registered Nurse

NPI 1124217948

Registered Nurse

Velia Vasquez , RN

Registered Nurse

NPI 1295924017

Registered Nurse

Denise Octaviano , RN

Registered Nurse

NPI 1316136138

Registered Nurse

Gloriane Hargrave , MSN, APRN, FNP-BC

Nurse Practitioner - Family

NPI 1437279791

Master of Science in Nursing, Advanced Practice Registered Nurse, Family Nurse Practitioner (Board Certified)

Maria Reams , RN

Registered Nurse

NPI 1467631994

Registered Nurse

Kirsten Emanuel , FNP-C

Nurse Practitioner - Family

NPI 1487079075

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

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

7 Historical Events

👤

Provider Name / Credentials Updated August 29, 2023

Recorded as VICKIE WOODS-MODELAND, PNP

✅

NPI Profile Active May 07, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location May 07, 2010

Registered at 701 E DAVIS ST, STE. A, CONROE, TX 773013018 (Tel: 9365252800)

📍

Updated Business Mailing Address May 07, 2010

Registered at 301 UNIVERSITY BLVD, GALVESTON, TX 775555302 (Tel: 4097722222)

👤

Provider Name / Credentials Updated May 07, 2010

Recorded as VICKI WOODS-MODELAND, PNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 07, 2010

Nurse Practitioner (License #239394 in TX)

🟢

Initial NPI Registration & Enumeration May 16, 2006

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: 1184676777

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 16, 2006

Last Update: August 29, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

301 University Blvd

Galveston, TX 775555302

Phone: 4097722222

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.