HERITAGE VALLEY WOUND CARE LLC
NPI 1053298141
Nurse Practitioner in Las Vegas, NV
About Heritage Valley Wound Care Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HERITAGE VALLEY WOUND CARE LLC (NPI 1053298141) is a healthcare organization registered as a nurse practitioner in Las Vegas, Nevada and active in the NPI registry since August 2025. The organization lists Amber Tanae Kleckner, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Heritage Valley Wound Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Heritage Valley Wound Care LLC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (2)
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 Heritage Valley Wound Care LLC's NPI number?
The NPI number for Heritage Valley Wound Care LLC is 1053298141. It was assigned to this organization in the NPPES registry on August 19, 2025.
Where is Heritage Valley Wound Care LLC located?
Heritage Valley Wound Care LLC is located at 10364 Ironwood Pass Ave, Las Vegas, NV 89166. The listed phone number is (702) 725-2261.
What is Heritage Valley Wound Care LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Heritage Valley Wound Care LLC enrolled in Medicare?
Yes. Heritage Valley Wound Care LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Heritage Valley Wound Care LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Heritage Valley 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 Heritage Valley Wound Care LLC was last updated on August 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Heritage Valley Wound Care Llc · NPI 1053298141
Nurse Practitioner organization in Las Vegas, Nevada. Organization record, active in the CMS NPPES registry since August 19, 2025.
## Identity
- **NPI:** 1053298141 (Entity type: Organization)
- **Enumerated:** August 19, 2025
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **Organization subpart:** No
- **Authorized official:** Amber Tanae Kleckner, OWNER
## Practice location
- **Address:** 10364 IRONWOOD PASS AVE, Las Vegas, NV 89166-7151
- **Phone:** (702) 725-2261
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 19, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1053298141) · Data from the CMS NPPES public registry.