NPIMap

Organization Active NPI

Alliance Wound Care Services PLLC

  • Nurse Practitioner
  • Surprise, AZ
National Provider Identifier
1083406722
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
ALLIANCE WOUND CARE SERVICES PLLC
Practice address
17316 N Kimberly Way
Surprise, AZ 85374-9686
Phone
(575) 491-5367
NPI assigned
May 19, 2025
Last updated
Jan 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Brenda Lea Baker, FNP-BCNPI 1376997130
Title
Ceo
Phone
(888) 706-1444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NU Primary

Addresses

Primary practice location

17316 N Kimberly Way
Surprise, AZ 85374-9686

Mailing address

4 Dominion Drive
BLDG 4, Ste 100
San Antonio, TX 78257
Phone (210) 850-5790

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250805002518 AZ Part B Supplier - Clinic/Group Practice 8628586187 Receives reassigned benefits from 8 practitioners
Practice locations: Sun City West, AZ; Surprise, AZ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1747612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769558400000",
    "number": "1083406722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 DOMINION DRIVE",
            "address_2": "BLDG 4, STE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78257",
            "telephone_number": "210-850-5790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17316 N KIMBERLY WAY",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853749686",
            "telephone_number": "575-491-5367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE WOUND CARE SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-19",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "LEA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "888-706-1444",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.