Titan Wound Care PLLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

TITAN WOUND CARE PLLC

Practice address

7559 Oday LN NE
Otsego, MN 55330-6314

Phone

(612) 214-0386

NPI assigned

Jul 15, 2025

Organization subpart

No

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

Authorized official

Name

Andrew Nicholson, MDNPI 1063041960

Title

Owner

Phone

(612) 214-0385

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Practitioners 1

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

• Andrew Gordon Nicholson, MD

  • Surgery Physician
  • Otsego, MN
  • NPI 1063041960
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1752537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762473600000",
    "number": "1881585917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7559 ODAY LN NE",
            "city": "OTSEGO",
            "state": "MN",
            "postal_code": "553306314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7559 ODAY LN NE",
            "city": "OTSEGO",
            "state": "MN",
            "postal_code": "553306314",
            "telephone_number": "612-214-0386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TITAN WOUND CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-15",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A",
        "authorized_official_last_name": "NICHOLSON",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-214-0385",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Kay Thelen, PA-C
• Kayla Then, LSW
• Benjamin E Thomas
• Talia Beth Thompson, LADC, LPCC
• Inna Timshina
• Tranquility Homes LLC
• Tranquility Homes LLC
• Tranquility Homes LLC
• Truecompanion Homecare LLC
• Dimitri M Tsampis

• Medical Specialty Clinic/Center in Otsego, MN
• Providers in Otsego, MN by specialty
• Medical Specialty Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.