Advanced Wound Care LLC
NPI 1275341042ActiveOrganization· Nurse Practitioner, Family· Rockville, MD
Nurse Practitioner, Family in Rockville, Maryland, registered in NPPES in December 2024. The authorized official on file is Tyler Stout, Manager. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1275341042 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 24, 2024 |
| Last updated in NPPES | May 31, 2025 |
| Certified by provider | May 31, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
| 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 (DC); Part B Supplier - Clinic/Group Practice (MD); Part B Supplier - Clinic/Group Practice (TN) |
|---|
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