Professional Wound Specialists PLLC
A Medicare group practice based in Albuquerque, NM: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 8921533183), with 12 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 8921533183
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- ID, NM, UT, WY
- Enrollments
- 4
- Group size
- 6 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 4
Enrollment records 4
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20241125001884 | UT | Part B Supplier - Clinic/Group Practice | 1598594483 |
| O20250520000811 | ID | Part B Supplier - Clinic/Group Practice | 1861216228 |
| O20250618000184 | NM | Part B Supplier - Clinic/Group Practice | 1033933494 |
| O20250314001997 | WY | Part B Supplier - Clinic/Group Practice | 1245037712 |
NPIs in this group 4
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Professional Wound Specialists PLLC
- Surgery Physician
- Albuquerque, NM
- NPI 1033933494
-
Professional Wound Specialists PLLC
- Surgery Physician
- Sheridan, WY
- NPI 1245037712
-
Professional Wound Specialists PLLC
- Surgery Physician
- Roy, UT
- NPI 1598594483
-
Professional Wound Specialists PLLC
- Surgery Physician
- Boise, ID
- NPI 1861216228
Practice locations
- Roy, UT1
- Rexburg, ID1
- Sheridan, WY1
- Albuquerque, NM1
Clinicians 12
Clinicians who reassign their Medicare benefits to this group (12) or whom Care Compare lists as members (6).
-
Amber Blythe Baird, NP
- Family Nurse Practitioner
- Salem, UT
- NPI 1831824861
-
Kenneth Reese Baird, PA-C
- Physician Assistant
- St George, UT
- NPI 1194083295
-
Mikayl Bell, A.P.R.N.
- Nurse Practitioner
- Roy, UT
- NPI 1740159995
-
Caren D Erekson, DNP, APRN, FNP-C
- Family Nurse Practitioner
- Roy, UT
- NPI 1952929895
-
Tracy Lynn Holley, PA-C
- Surgical Physician Assistant
- Murray, UT
- NPI 1801194097
-
Matthew R Lovelace, PA
- Physician Assistant
- Orem, UT
- NPI 1194243964
-
Megan Jane Paxman, NP-C
- Family Nurse Practitioner
- Farmington, UT
- NPI 1326692476
-
Todd David Seamons, PA-C
- Medical Physician Assistant
- Orem, UT
- NPI 1821125907
-
Annetta Sine, FNP-C
- Family Nurse Practitioner
- Roy, UT
- NPI 1619846524
-
Jessica Torrez, DNP, FNP-BC
- Family Nurse Practitioner
- Twin Falls, ID
- NPI 1205307097
-
Paula Weaver
- Physician Assistant
- Salt Lake City, UT
- NPI 1851840706
-
Ming-Wei Daniel Wu, D.O.
- Surgery Physician
- Pomona, CA
- NPI 1578500336
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.