Proactive Wound Care Id Inc.
NPI 1134928419ActiveOrganization· Podiatrist· Fish Haven, ID
Podiatrist in Fish Haven, Idaho, registered in NPPES in March 2025. The authorized official on file is Hayley Williams, Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1134928419 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 10, 2025 |
| Last updated in NPPES | Mar 10, 2025 |
| Certified by provider | Mar 10, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Podiatrist Primary | 213E00000X | — | — |
| Nurse Practitioner | 363L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (ID) |
|---|