ARIZONA S ADVANCED WOUND CARE LLC
NPI 1114721305
Nurse Practitioner - Family in Phoenix, AZ
About Arizona S Advanced Wound Care Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ARIZONA S ADVANCED WOUND CARE LLC (NPI 1114721305) is a healthcare organization registered as a family in Phoenix, Arizona and active in the NPI registry since April 2025. The organization lists Maria Jill Buena Alfonso, 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)
Arizona S Advanced Wound Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Arizona S Advanced Wound Care LLC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (3)
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 Arizona S Advanced Wound Care LLC's NPI number?
The NPI number for Arizona S Advanced Wound Care LLC is 1114721305. It was assigned to this organization in the NPPES registry on April 4, 2025.
Where is Arizona S Advanced Wound Care LLC located?
Arizona S Advanced Wound Care LLC is located at 2625 E Camelback Rd Apt 288, Phoenix, AZ 85016. The listed phone number is (725) 251-3522.
What is Arizona S Advanced Wound Care LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Arizona S Advanced Wound Care LLC enrolled in Medicare?
Yes. Arizona S Advanced Wound Care LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Arizona S Advanced Wound Care LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Arizona S 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 Arizona S Advanced Wound Care LLC was last updated on April 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Arizona S Advanced Wound Care Llc · NPI 1114721305
Family organization in Phoenix, Arizona. Organization record, active in the CMS NPPES registry since April 4, 2025.
## Identity
- **NPI:** 1114721305 (Entity type: Organization)
- **Enumerated:** April 4, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Maria Jill Alfonso, OWNER
## Practice location
- **Address:** 2625 E CAMELBACK RD APT 288, Phoenix, AZ 85016-4392
- **Phone:** (725) 251-3522 · **Fax:** (725) 251-3488
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 4, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1114721305) · Data from the CMS NPPES public registry.