NPIMap

Organization Active NPI

Beacon Wound Care PLLC

  • Wound Care Registered Nurse
  • Colorado Springs, CO
National Provider Identifier
1649160417
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Wound Care Registered NurseTaxonomy code 163WW0000X
Legal business name
BEACON WOUND CARE PLLC
Practice address
5 W Las Vegas St
Colorado Springs, CO 80903-4217
Phone
(303) 981-1727
NPI assigned
Jul 3, 2025
Last updated
Jul 28, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
BEACON WOUND CARE PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Authorized official

Name
Jennifer Leigh GraffNPI 1558722264
Title
Owner
Phone
(303) 981-1727

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
Wound Care Registered Nurse 163WW0000X NU Primary

Addresses

Primary practice location

5 W Las Vegas St
Colorado Springs, CO 80903-4217

Mailing address

9980 Silver Maple Rd
Highlands Ranch, CO 80129-5469
Phone (303) 981-1727

Other names 1

  • Beacon Wound Care, PC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250124001094 CO Part B Supplier - Clinic/Group Practice 5991234668 Receives reassigned benefits from 3 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Colorado Springs, CO; Denver, CO; Highlands Ranch, CO; Lone Tree, CO

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Beacon Wound Care PLLC4 organizations share this tax ID, including this one
Part of
Beacon Wound Care PLLC

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

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": "1751500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753660800000",
    "number": "1649160417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9980 SILVER MAPLE RD",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801295469",
            "telephone_number": "303-981-1727",
            "fax_number": "720-378-4377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 W LAS VEGAS ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809034217",
            "telephone_number": "303-981-1727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON WOUND CARE PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BEACON WOUND CARE PLLC",
        "enumeration_date": "2025-07-03",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A",
        "authorized_official_last_name": "GRAFF",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-981-1727"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beacon Wound Care, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; 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.