Specialized Wound Management LLC
NPI 1962430157ActiveOrganization· Nurse Practitioner, Adult Health· Chesterfield, MO
Nurse Practitioner, Adult Health in Chesterfield, Missouri, registered in NPPES in June 2006. The authorized official on file is Gail Lee Hartmann, Treasurer. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1962430157 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 28, 2006 |
| Last updated in NPPES | Aug 12, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Adult Health Primary | 363LA2200X | — | — |
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 (IL); Part B Supplier - Clinic/Group Practice (MO); Part B Supplier - Clinic/Group Practice (NE) |
|---|
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