JCL ADVANCED WOUND CARE LLC
NPI 1063364693
Nurse Practitioner - Family in Westlake, FL
About Jcl Advanced Wound Care Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JCL ADVANCED WOUND CARE LLC (NPI 1063364693) is a healthcare organization registered as a family in Westlake, Florida and active in the NPI registry since February 2026. The organization lists Oluwabusayo Omole, Aprn/nurse Practitioner, 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)
Jcl Advanced 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 Jcl Advanced Wound Care LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Jcl Advanced Wound Care LLC's NPI number?
The NPI number for Jcl Advanced Wound Care LLC is 1063364693. It was assigned to this organization in the NPPES registry on February 14, 2026.
Where is Jcl Advanced Wound Care LLC located?
Jcl Advanced Wound Care LLC is located at 4644 Canopy Grove Dr, Westlake, FL 33470. The listed phone number is (561) 633-0689.
What is Jcl Advanced Wound Care LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jcl Advanced Wound Care LLC enrolled in Medicare?
Yes. Jcl Advanced Wound Care LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Jcl Advanced Wound Care LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Jcl Advanced 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 Jcl Advanced Wound Care LLC was last updated on March 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Jcl Advanced Wound Care Llc · NPI 1063364693
Family organization in Westlake, Florida. Organization record, active in the CMS NPPES registry since February 14, 2026.
## Identity
- **NPI:** 1063364693 (Entity type: Organization)
- **Enumerated:** February 14, 2026
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Oluwabusayo Omole, APRN/NURSE PRACTITIONER
## Practice location
- **Address:** 4644 CANOPY GROVE DR, Westlake, FL 33470-7049
- **Phone:** (561) 633-0689
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 26, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1063364693) · Data from the CMS NPPES public registry.