FRONT RANGE MOBILE WOUND CARE LLC
NPI 1023815180
Nurse Practitioner - Family in Longmont, CO

Active since February 26, 2025
713 3RD AVE, LONGMONT, CO 80501(720) 824-5373 Get Directions Write a Review

NPPES record last updated: April 14, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Front Range Mobile Wound Care Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FRONT RANGE MOBILE WOUND CARE LLC (NPI 1023815180) is a healthcare organization registered as a family in Longmont, Colorado and active in the NPI registry since February 2025. The organization lists Courtney Susser, Owner, as its authorized official.

NPPES Registry Identity

NPI1023815180
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameFRONT RANGE MOBILE WOUND CARE LLC
Location Address713 3RD AVELongmont, CO 80501-5926
Mailing Address713 3rd AveLongmont, CO 80501-5926 · (901) 463-7553
Organization SubpartNo
Authorized OfficialCourtney SusserOwner · (720) 824-5373
Enumeration DateFebruary 26, 2025
Last NPPES UpdateApril 14, 2025
NPPES CertifiedApril 14, 2025
✔ NPI 1023815180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
713 3RD AVE, Longmont, CO 80501

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Front Range Mobile Wound Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Front Range Mobile Wound Care LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1144781022
713 3RD AVE
Longmont, CO 80501
(901) 463-7553
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Front Range Mobile Wound Care LLC's NPI number?

The NPI number for Front Range Mobile Wound Care LLC is 1023815180. It was assigned to this organization in the NPPES registry on February 26, 2025.

Where is Front Range Mobile Wound Care LLC located?

Front Range Mobile Wound Care LLC is located at 713 3rd Ave, Longmont, CO 80501. The listed phone number is (720) 824-5373.

What is Front Range Mobile Wound Care LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Front Range Mobile Wound Care LLC enrolled in Medicare?

Yes. Front Range Mobile Wound Care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Front Range Mobile Wound Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Front Range Mobile Wound Care LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Front Range Mobile Wound Care LLC was last updated on April 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.