INTEGRATED WOUND CARE MANAGEMENT WISCONSIN LLC
NPI 1154963049
General Practice in Superior, WI
About Integrated Wound Care Management Wisconsin Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
INTEGRATED WOUND CARE MANAGEMENT WISCONSIN LLC (NPI 1154963049) is a healthcare organization registered as a general practice in Superior, Wisconsin and active in the NPI registry since October 2019. The organization lists Diane Lusas, Member, 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)
Integrated Wound Care Management Wisconsin Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
12Medicare enrollment records show 12 clinicians reassign Medicare billing to Integrated Wound Care Management Wisconsin LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (12)
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 Management Wisconsin LLC's NPI number?
The NPI number for Integrated Wound Care Management Wisconsin LLC is 1154963049. It was assigned to this organization in the NPPES registry on October 11, 2019.
Where is Integrated Wound Care Management Wisconsin LLC located?
Integrated Wound Care Management Wisconsin LLC is located at 1800 New York Ave, Superior, WI 54880. The listed phone number is (201) 870-1194.
What is Integrated Wound Care Management Wisconsin LLC's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Integrated Wound Care Management Wisconsin LLC enrolled in Medicare?
Yes. Integrated Wound Care Management Wisconsin LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Integrated Wound Care Management Wisconsin LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 2 Medicare specialties reassign their Medicare billing to Integrated Wound Care Management Wisconsin 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. The largest specialties are Nurse Practitioner (11) and Family Practice (1). 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 Integrated Wound Care Management Wisconsin LLC was last updated on October 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Integrated Wound Care Management Wisconsin Llc · NPI 1154963049
General Practice organization in Superior, Wisconsin. Organization record, active in the CMS NPPES registry since October 11, 2019.
## Identity
- **NPI:** 1154963049 (Entity type: Organization)
- **Enumerated:** October 11, 2019
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **Organization subpart:** No
- **Authorized official:** Diane Lusas, MEMBER
## Practice location
- **Address:** 1800 NEW YORK AVE, Superior, WI 54880-2008
- **Phone:** (201) 870-1194
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 12 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (11), Family Practice (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 11, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1154963049) · Data from the CMS NPPES public registry.