SIMPLY WOUNDS AND LYMPHATICS, PLLC
NPI 1073464301
Nurse Practitioner in Evergreen Park, IL
About Simply Wounds And Lymphatics, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SIMPLY WOUNDS AND LYMPHATICS, PLLC (NPI 1073464301) is a healthcare organization registered as a nurse practitioner in Evergreen Park, Illinois and active in the NPI registry since February 2026. The organization lists Summer M Jackson, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
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)
Simply Wounds And Lymphatics, Pllc 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 Simply Wounds And Lymphatics, PLLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. 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 Simply Wounds And Lymphatics, PLLC's NPI number?
The NPI number for Simply Wounds And Lymphatics, PLLC is 1073464301. It was assigned to this organization in the NPPES registry on February 4, 2026.
Where is Simply Wounds And Lymphatics, PLLC located?
Simply Wounds And Lymphatics, PLLC is located at 9401 S Pulaski Rd Unit 3N, Evergreen Park, IL 60805. The listed phone number is (773) 416-9936.
What is Simply Wounds And Lymphatics, PLLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Simply Wounds And Lymphatics, PLLC enrolled in Medicare?
Yes. Simply Wounds And Lymphatics, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Simply Wounds And Lymphatics, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Simply Wounds And Lymphatics, PLLC. 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Simply Wounds And Lymphatics, PLLC was last updated on February 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Simply Wounds And Lymphatics, Pllc · NPI 1073464301
Nurse Practitioner organization in Evergreen Park, Illinois. Organization record, active in the CMS NPPES registry since February 4, 2026.
## Identity
- **NPI:** 1073464301 (Entity type: Organization)
- **Enumerated:** February 4, 2026
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **Also known as:** Simply wounds and Lymphatics, PLLC (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Summer Jackson, CEO
## Practice location
- **Address:** 9401 S PULASKI RD UNIT 3N, Evergreen Park, IL 60805-1924
- **Phone:** (773) 416-9936
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 4, 2026
- **Other identifiers:** Medicaid 2000357580 (IL)
---
Source: [NPI Profile](https://npiprofile.com/npi/1073464301) · Data from the CMS NPPES public registry.