Organization Active NPI

Wound Wellness, PLLC

  • Nurse Practitioner
  • Lake Villa, IL
National Provider Identifier
1437915337
Registry record updated Mar 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
WOUND WELLNESS, PLLC
Practice address
50 S Milwaukee Ave Ste 103
Lake Villa, IL 60046-9407
Phone
(215) 214-6242
NPI assigned
Feb 27, 2024
Last updated
Mar 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2024

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

Authorized official

Name
Lindsey TerningNPI 1700383338
Title
Owner/Nurse Practitioner
Phone
(224) 627-9155

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

50 S Milwaukee Ave Ste 103
Lake Villa, IL 60046-9407

Mailing address

50 S Milwaukee Ave
Lake Villa, IL 60046-9471
Phone (224) 627-9155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240521003452 IL Part B Supplier - Clinic/Group Practice 4688016710 Receives reassigned benefits from 6 practitioners
Practice locations: Lake Villa, IL
O20251223001280 WI Part B Supplier - Clinic/Group Practice 4688016710 Receives reassigned benefits from 1 practitioner
Practice locations: Bristol, WI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2301033Wound Wellness, PLLC50 S Milwaukee Ave - Ste 103, Lake Villa, IL 60046Certificate of waiverMar 19, 2028

National Provider Directory

National Provider Directory

Locations

50 S Milwaukee Ave
Lake Villa, IL 60046
Phone (224) 627-9155

50 S Milwaukee Ave
Ste 103
Lake Villa, IL 60046
Phone (224) 215-6242

Practitioners & affiliated clinicians

Practitioners 7

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": "1708992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711238400000",
    "number": "1437915337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 S MILWAUKEE AVE",
            "city": "LAKE VILLA",
            "state": "IL",
            "postal_code": "600469471",
            "telephone_number": "224-627-9155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 S MILWAUKEE AVE STE 103",
            "city": "LAKE VILLA",
            "state": "IL",
            "postal_code": "600469407",
            "telephone_number": "215-214-6242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOUND WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-27",
        "last_updated": "2024-03-24",
        "certification_date": "2024-03-24",
        "status": "A",
        "authorized_official_last_name": "TERNING",
        "authorized_official_first_name": "LINDSEY",
        "authorized_official_title_or_position": "OWNER/NURSE PRACTITIONER",
        "authorized_official_telephone_number": "224-627-9155"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Villa, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.