UNITED WOUND CARE, LLC
NPI 1124893888
Registered Nurse - Wound Care in Saint Louis, MO

Active since November 21, 2023CLIA 26D2347939 · Waiver
12125 WOODCREST EXECUTIVE DR STE 110, SAINT LOUIS, MO 63141(314) 789-2486 Get Directions Write a Review

NPPES record last updated: November 24, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 24, 2025, Mar 25, 2025, Nov 21, 2023 (3 updates tracked since 2023).

About United Wound Care, Llc NPPES

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

UNITED WOUND CARE, LLC (NPI 1124893888) is a healthcare organization registered as a wound care in Saint Louis, Missouri and active in the NPI registry since November 2023. The organization holds a CLIA Waiver certificate valid through July 27, 2028 and lists Jonathan Pollock, Owner, as its authorized official.

NPPES Registry Identity

NPI1124893888
Entity TypeOrganization
Primary Taxonomy163WW0000X
Legal Business NameUNITED WOUND CARE, LLC
Location Address12125 WOODCREST EXECUTIVE DR STE 110Saint Louis, MO 63141-5009
Mailing Address12125 Woodcrest Executive Dr Ste 110Saint Louis, MO 63141-5009
Organization SubpartNo
Authorized OfficialJonathan PollockOwner · (314) 789-2486
Enumeration DateNovember 21, 2023
Last NPPES UpdateNovember 24, 20253 updates tracked since enumeration
NPPES CertifiedNovember 24, 2025
✔ NPI 1124893888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyRegistered Nurse · Wound CareNursing Service Providers
Taxonomy Code163WW0000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
12125 WOODCREST EXECUTIVE DR STE 110, Saint Louis, MO 63141

Other Names 1

Other NameUnited Wound Care Centers

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)

United Wound Care, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to United Wound Care, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1366997306
12125 WOODCREST EXECUTIVE DR STE 110
Saint Louis, MO 63141
(314) 789-2486
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1558355214
7345 WATSON RD
Saint Louis, MO 63119
(314) 752-7100
✔ PECOS✔ Accepts Medicare9.6 mi
Nurse Practitioner
NPI 1518466556
12345 MERCY BLVD
Savannah, GA 31419
(912) 927-3046
✔ PECOS✔ Accepts Medicare699 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D2347939

United Wound Care LLC · Saint Louis, MO
Active · expires Jul 27, 2028
CLIA Number26D2347939
Laboratory TypePhysician Office
Certificate Effective DateJuly 28, 2026
Certificate Expiration DateJuly 27, 2028
Laboratory DirectorSamantha W. Pollock
Laboratory Phone(314) 789-2486
Laboratory LocationUnited Wound Care LLC12125 Woodcrest Executive Dr, Ste 110, Saint Louis, MO 63141
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 United Wound Care, LLC's NPI number?

The NPI number for United Wound Care, LLC is 1124893888. It was assigned to this organization in the NPPES registry on November 21, 2023. The provider is also known as United Wound Care Centers.

Where is United Wound Care, LLC located?

United Wound Care, LLC is located at 12125 Woodcrest Executive Dr Ste 110, Saint Louis, MO 63141. The listed phone number is (314) 789-2486.

What is United Wound Care, LLC's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Wound Care, with taxonomy code 163WW0000X.

Is United Wound Care, LLC enrolled in Medicare?

Yes. United Wound Care, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through United Wound Care, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to United Wound Care, LLC, in General Surgery and Nurse Practitioner. 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 at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does United Wound Care, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2347939) is associated with this NPI, valid through July 27, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for United Wound Care, LLC was last updated on November 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.