INTEGRATED WOUND CARE KENTUCKY PLLC
NPI 1144970641
Nurse Practitioner - Primary Care in Phelps, KY

Active since March 27, 2022
60 PHILLIPS BRANCH RD, PHELPS, KY 41553(718) 963-3495 Get Directions Write a Review

NPPES record last updated: December 29, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Integrated Wound Care Kentucky Pllc NPPES

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

INTEGRATED WOUND CARE KENTUCKY PLLC (NPI 1144970641) is a healthcare organization registered as a primary care in Phelps, Kentucky and active in the NPI registry since March 2022. The organization lists Diane Lusas, Member, as its authorized official.

NPPES Registry Identity

NPI1144970641
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameINTEGRATED WOUND CARE KENTUCKY PLLC
Location Address60 PHILLIPS BRANCH RDPhelps, KY 41553-9061
Mailing Address492c Cedar Ln Ste 514Teaneck, NJ 07666-1713
Organization SubpartNo
Authorized OfficialDiane LusasMember · (718) 963-3495
Enumeration DateMarch 27, 2022
Last NPPES UpdateDecember 29, 2022
NPPES CertifiedDecember 29, 2022
✔ NPI 1144970641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
Also ListedGeneral PracticeTaxonomy 208D00000X
60 PHILLIPS BRANCH RD, Phelps, KY 41553

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE 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)

Integrated Wound Care Kentucky Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Integrated Wound Care Kentucky PLLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (7)

Nurse Practitioner
NPI 1083262349
911 BYPASS RD BLDG A
Pikeville, KY 41501
(606) 218-3516
✔ PECOS✔ Accepts Medicare21 mi
Nurse Practitioner
NPI 1548895535
184 S MAYO TRL
Pikeville, KY 41501
(606) 430-2213
✔ PECOS✔ Accepts Medicare22 mi
Nurse Practitioner
NPI 1235641630
5249 HIGHWAY 67 W
Mountain City, TN 37683
(423) 727-7387
✔ PECOS✔ Accepts Medicare73 mi
Emergency Medicine
NPI 1063432730
175 HOSPITAL DR
Winchester, KY 40391
(859) 745-3500
✔ PECOS✔ Accepts Medicare119 mi
Nurse Practitioner
NPI 1528436334
188 HOSPITAL LN
Jellico, TN 37762
(423) 784-7272
✔ PECOS✔ Accepts Medicare127 mi
Nurse Practitioner
NPI 1326203886
701 COUNTY SERVICES DR
Cookeville, TN 38501
(931) 528-2531
✔ PECOS✔ Accepts Medicare209 mi
General Surgery
NPI 1730475658
34 MIDROCKS DR
Norwalk, CT 06851
(732) 451-4318
✔ PECOS✔ Accepts Medicare530 mi

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 Integrated Wound Care Kentucky PLLC's NPI number?

The NPI number for Integrated Wound Care Kentucky PLLC is 1144970641. It was assigned to this organization in the NPPES registry on March 27, 2022.

Where is Integrated Wound Care Kentucky PLLC located?

Integrated Wound Care Kentucky PLLC is located at 60 Phillips Branch Rd, Phelps, KY 41553. The listed phone number is (718) 963-3495.

What is Integrated Wound Care Kentucky PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Integrated Wound Care Kentucky PLLC enrolled in Medicare?

Yes. Integrated Wound Care Kentucky PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Integrated Wound Care Kentucky PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 3 Medicare specialties reassign their Medicare billing to Integrated Wound Care Kentucky 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. The largest specialties are Nurse Practitioner (5), Emergency Medicine (1) and General Surgery (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Integrated Wound Care Kentucky PLLC was last updated on December 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.