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PLATINUM WOUND CARE SPECIALIST
NPI 1174208763
Family Medicine in Las Vegas, NV

Active since June 20, 2023
3830 E FLAMINGO RD STE 201, LAS VEGAS, NV 89121(702) 659-5604(702) 660-6186 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 6, 2025, Jun 20, 2023 (2 updates tracked since 2023).

About Platinum Wound Care Specialist NPPES

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

PLATINUM WOUND CARE SPECIALIST (NPI 1174208763) is a healthcare organization registered as a family medicine in Las Vegas, Nevada and active in the NPI registry since June 2023. The organization lists Craig Jorgenson, Owner, as its authorized official.

NPPES Registry Identity

NPI1174208763
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePLATINUM WOUND CARE SPECIALIST
Location Address3830 E FLAMINGO RD STE 201Las Vegas, NV 89121-6234
Mailing Address1000 N Green Valley Pkwy Ste 440-127Henderson, NV 89074-6170 · (702) 659-5604 · Fax (702) 660-6186
Phone(702) 659-5604
Fax(702) 660-6186
Organization SubpartNo
Authorized OfficialCraig JorgensonOwner · (702) 659-5604
Enumeration DateJune 20, 2023
Last NPPES UpdateAugust 6, 20252 updates tracked since enumeration
NPPES CertifiedAugust 6, 2025
✔ NPI 1174208763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3830 E FLAMINGO RD STE 201, Las Vegas, NV 89121
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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)

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

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Platinum Wound Care Specialist, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Melinda Victorson, APRN-CNP
Nurse Practitioner
NPI 1639754468
2329 THAYER AVE
Henderson, NV 89074
(702) 419-6668
✔ PECOS✔ Accepts Medicare4.9 mi
Jennifer Roux, NURSE PRACTITIONER
Nurse Practitioner
NPI 1972129203
9975 S EASTERN AVE STE 110
Las Vegas, NV 89183
(702) 659-5604
✔ PECOS7.6 mi
Brian Johnson, APRN FNP-C
Nurse Practitioner
NPI 1487114583
6900 N PECOS RD
North Las Vegas, NV 89086
(702) 791-9000
✔ PECOS✔ Accepts Medicare12 mi
Jimmy Cruza, FNP-C
Nurse Practitioner
NPI 1063079234
2 S MAINE AVE BLDG 102-54
Hawthorne, NV 89415
(702) 981-2919
✔ PECOS✔ Accepts Medicare256 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 Platinum Wound Care Specialist's NPI number?

The NPI number for Platinum Wound Care Specialist is 1174208763. It was assigned to this organization in the NPPES registry on June 20, 2023.

Where is Platinum Wound Care Specialist located?

Platinum Wound Care Specialist is located at 3830 E Flamingo Rd Ste 201, Las Vegas, NV 89121. The listed phone number is (702) 659-5604.

What is Platinum Wound Care Specialist's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Platinum Wound Care Specialist enrolled in Medicare?

Yes. Platinum Wound Care Specialist is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Platinum Wound Care Specialist?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Platinum Wound Care Specialist. 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, 2 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 Platinum Wound Care Specialist was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.