Advanced Wound Management LLC
NPI 1053276246ActiveOrganization· Nurse Practitioner, Family· Las Vegas, NV
Nurse Practitioner, Family in Las Vegas, Nevada, registered in NPPES in December 2025. The authorized official on file is Brenda Michelle Simmons, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1053276246 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 19, 2025 |
| Last updated in NPPES | Dec 19, 2025 |
| Certified by provider | Dec 19, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NV) |
|---|
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