Outcomes Wound Therapy PLLC
NPI 1124820980ActiveOrganization· Nurse Practitioner· Austin, TX
Nurse Practitioner in Austin, Texas, registered in NPPES in March 2025. The authorized official on file is Cory Peterson, PT, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1124820980 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 25, 2025 |
| Last updated in NPPES | Oct 14, 2025 |
| Certified by provider | Oct 14, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | — | — |
| Registered Nurse, Wound Care | 163WW0000X | — | — |
| Physician Assistant, Medical | 363AM0700X | — | — |
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 (TX) |
|---|
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