ADVANCED WOUND MANAGEMENT LLC
NPI 1053276246
Nurse Practitioner - Family in Las Vegas, NV

Active since December 19, 2025
732 S 6TH ST STE N, LAS VEGAS, NV 89101(702) 560-0624 Get Directions Write a Review

NPPES record last updated: December 19, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Advanced Wound Management Llc NPPES

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

ADVANCED WOUND MANAGEMENT LLC (NPI 1053276246) is a healthcare organization registered as a family in Las Vegas, Nevada and active in the NPI registry since December 2025. The organization lists Brenda Michelle Simmons, Owner, as its authorized official.

NPPES Registry Identity

NPI1053276246
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameADVANCED WOUND MANAGEMENT LLC
Location Address732 S 6TH ST STE NLas Vegas, NV 89101-6928
Mailing Address732 S 6th St Ste NLas Vegas, NV 89101-6928 · (702) 560-0624
Organization SubpartNo
Authorized OfficialBrenda Michelle SimmonsOwner · (702) 483-5555
Enumeration DateDecember 19, 2025
NPPES CertifiedDecember 19, 2025
✔ NPI 1053276246 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
732 S 6TH ST STE N, Las Vegas, NV 89101

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Advanced Wound Management 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 Advanced Wound Management LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1285814954
3320 N BUFFALO DR STE 106
Las Vegas, NV 89129
(028) 696-1907
✔ PECOS✔ Accepts Medicare7.7 mi

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 Advanced Wound Management LLC's NPI number?

The NPI number for Advanced Wound Management LLC is 1053276246. It was assigned to this organization in the NPPES registry on December 19, 2025.

Where is Advanced Wound Management LLC located?

Advanced Wound Management LLC is located at 732 S 6th St Ste N, Las Vegas, NV 89101. The listed phone number is (702) 560-0624.

What is Advanced Wound Management LLC's specialty?

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

Is Advanced Wound Management LLC enrolled in Medicare?

Yes. Advanced Wound Management LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Wound Management LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Advanced Wound Management 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 Advanced Wound Management LLC was last updated on December 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.