NORTHWOODS MOBILE WOUND CARE, PLLC
NPI 1174494603
Podiatrist in Appleton, WI

Active since September 17, 2025
2800 E ENTERPRISE AVE STE 333, APPLETON, WI 54913(630) 687-0455 Get Directions Write a Review

NPPES record last updated: September 17, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Northwoods Mobile Wound Care, Pllc NPPES

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

NORTHWOODS MOBILE WOUND CARE, PLLC (NPI 1174494603) is a healthcare organization registered as a podiatrist in Appleton, Wisconsin and active in the NPI registry since September 2025. The organization lists Robert Burdi, Owner, as its authorized official.

NPPES Registry Identity

NPI1174494603
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameNORTHWOODS MOBILE WOUND CARE, PLLC
Location Address2800 E ENTERPRISE AVE STE 333Appleton, WI 54913-7889
Mailing Address714 Jonquil TerDeerfield, IL 60015-4247 · (630) 687-0455
Organization SubpartNo
Authorized OfficialRobert BurdiOwner · (630) 687-0455
Enumeration DateSeptember 17, 2025
NPPES CertifiedSeptember 16, 2025
✔ NPI 1174494603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
2800 E ENTERPRISE AVE STE 333, Appleton, WI 54913

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X 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)

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Northwoods Mobile Wound Care, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Podiatry
NPI 1255838975
8500 75TH ST STE 105
Kenosha, WI 53142
(847) 390-7666
✔ PECOS✔ Accepts Medicare122 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 Northwoods Mobile Wound Care, PLLC's NPI number?

The NPI number for Northwoods Mobile Wound Care, PLLC is 1174494603. It was assigned to this organization in the NPPES registry on September 17, 2025.

Where is Northwoods Mobile Wound Care, PLLC located?

Northwoods Mobile Wound Care, PLLC is located at 2800 E Enterprise Ave Ste 333, Appleton, WI 54913. The listed phone number is (630) 687-0455.

What is Northwoods Mobile Wound Care, PLLC's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Northwoods Mobile Wound Care, PLLC enrolled in Medicare?

Yes. Northwoods Mobile Wound Care, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Northwoods Mobile Wound Care, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Northwoods Mobile Wound Care, 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Northwoods Mobile Wound Care, PLLC was last updated on September 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.