Professional Wound Specialists PLLC
NPI 1861216228ActiveOrganization· Surgery· Boise, ID
Surgery in Boise, Idaho, registered in NPPES in November 2024. The authorized official on file is Nikki Nguyen, Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1861216228 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 12, 2024 |
| Last updated in NPPES | Feb 19, 2026 |
| Certified by provider | Feb 19, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | — | — |
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) |
|---|
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