Organization Active NPI

Az Wound Solutions, PLLC

  • Geriatric Medicine (Family Medicine) Physician
  • Peoria, AZ
National Provider Identifier
1447909171
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
Legal business name
AZ WOUND SOLUTIONS, PLLC
Practice address
15396 N 83Rd Ave Ste F101
Peoria, AZ 85381-5629
Phone
(602) 978-5000
Fax
(602) 978-0734
NPI assigned
Mar 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Authorized official

Name
Kelley Jean Darnell
Title
Administrator
Phone
(623) 363-4157

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QG0300X Primary
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

15396 N 83Rd Ave Ste F101
Peoria, AZ 85381-5629

Mailing address

15396 N 83Rd Ave Ste F101
Peoria, AZ 85381-5629
Phone (602) 978-5000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220422001566 AZ Part B Supplier - Clinic/Group Practice 5991192874 Receives reassigned benefits from 4 practitioners
Practice locations: Peoria, AZ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1647820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784160000000",
    "number": "1447909171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15396 N 83RD AVE STE F101",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853815629",
            "telephone_number": "602-978-5000",
            "fax_number": "602-978-0734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15396 N 83RD AVE STE F101",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853815629",
            "telephone_number": "602-978-5000",
            "fax_number": "602-978-0734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZ WOUND SOLUTIONS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-21",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A",
        "authorized_official_last_name": "DARNELL",
        "authorized_official_first_name": "KELLEY",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "623-363-4157"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.