Elite Wound Experts
NPI 1487520789ActiveOrganization· Physician Assistant· Kentwood, MI
Physician Assistant in Kentwood, Michigan, registered in NPPES in October 2025. The authorized official on file is Shawna Miller, Director Of Rcm. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1487520789 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 14, 2025 |
| Last updated in NPPES | Jul 8, 2026 |
| Certified by provider | Jul 8, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MI) |
|---|
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