WOUND TEAM OF GREATER WASHINGTON
NPI 1104255744
Nurse Practitioner - Family in Bowie, MD

Active since November 04, 2013
4234 LAVENDER LN, BOWIE, MD 20720(301) 717-2972 Get Directions Write a Review

NPPES record last updated: December 16, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Wound Team Of Greater Washington NPPES

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

WOUND TEAM OF GREATER WASHINGTON (NPI 1104255744) is a healthcare organization registered as a family in Bowie, Maryland and active in the NPI registry since November 2013. The organization lists Joseph E Kisanga, Chairman, as its authorized official.

NPPES Registry Identity

NPI1104255744
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameJ HEALTHCARE SERVICES AND CONSULTATION
Location Address4234 LAVENDER LNBowie, MD 20720-4291
Mailing Address4234 Lavender LnBowie, MD 20720-4291 · (301) 717-2972
Organization SubpartNo
Authorized OfficialJoseph E KisangaChairman · (301) 717-2972
Enumeration DateNovember 4, 2013
Last NPPES UpdateDecember 16, 2013
✔ NPI 1104255744 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
License✔ Licensed in DC · RN1011679
4234 LAVENDER LN, Bowie, MD 20720

Other Names 1

Other NameWound Team Of Greater Washington

Other Identifiers 1

Other1104255744MD · Npi For J Healthcare Services And Consultation

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)

Wound Team Of Greater Washington 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 Wound Team Of Greater Washington, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1831473628
4234 LAVENDER LN
Bowie, MD 20720
(301) 717-2972
✔ 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 J Healthcare Services And Consultation's NPI number?

The NPI number for J Healthcare Services And Consultation is 1104255744. It was assigned to this organization in the NPPES registry on November 4, 2013. The provider is also known as Wound Team Of Greater Washington.

Where is J Healthcare Services And Consultation located?

J Healthcare Services And Consultation is located at 4234 Lavender Ln, Bowie, MD 20720. The listed phone number is (301) 717-2972.

What is J Healthcare Services And Consultation's specialty?

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

Is J Healthcare Services And Consultation enrolled in Medicare?

Yes. J Healthcare Services And Consultation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through J Healthcare Services And Consultation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to J Healthcare Services And Consultation. 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 J Healthcare Services And Consultation was last updated on December 16, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.