INTEGRATED WOUND CARE WISCONSIN MEDICAL LLC
NPI 1184506354
General Practice in Madison, WI

Active since July 21, 2025
33 E MAIN ST STE 610, MADISON, WI 53703(212) 734-6621 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Integrated Wound Care Wisconsin Medical Llc NPPES

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

INTEGRATED WOUND CARE WISCONSIN MEDICAL LLC (NPI 1184506354) is a healthcare organization registered as a general practice in Madison, Wisconsin and active in the NPI registry since July 2025. The organization lists Diane Lusas, Member, as its authorized official.

NPPES Registry Identity

NPI1184506354
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameINTEGRATED WOUND CARE WISCONSIN MEDICAL LLC
Location Address33 E MAIN ST STE 610Madison, WI 53703-4655
Mailing Address492c Cedar Ln Ste 514Teaneck, NJ 07666-1713
Organization SubpartNo
Authorized OfficialDiane LusasMember · (212) 734-6621
Enumeration DateJuly 21, 2025
Last NPPES UpdateJune 15, 2026
NPPES CertifiedJune 15, 2026
✔ NPI 1184506354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
33 E MAIN ST STE 610, Madison, WI 53703

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)

Integrated Wound Care Wisconsin Medical Llc 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 Integrated Wound Care Wisconsin Medical LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (4)

Nurse Practitioner
NPI 1942871363
146 S 81ST ST
Milwaukee, WI 53214
(920) 539-2230
✔ PECOS✔ Accepts Medicare69 mi
Nurse Practitioner
NPI 1508517251
1000 N OAK AVE
Marshfield, WI 54449
(715) 221-7477
✔ PECOS✔ Accepts Medicare117 mi
Nurse Practitioner
NPI 1528134129
324 W SUPERIOR ST STE 620
Duluth, MN 55802
(218) 606-1797
✔ PECOS✔ Accepts Medicare289 mi
General Surgery
NPI 1730475658
34 MIDROCKS DR
Norwalk, CT 06851
(732) 451-4318
✔ PECOS✔ Accepts Medicare830 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 Wisconsin Medical LLC's NPI number?

The NPI number for Integrated Wound Care Wisconsin Medical LLC is 1184506354. It was assigned to this organization in the NPPES registry on July 21, 2025.

Where is Integrated Wound Care Wisconsin Medical LLC located?

Integrated Wound Care Wisconsin Medical LLC is located at 33 E Main St Ste 610, Madison, WI 53703. The listed phone number is (212) 734-6621.

What is Integrated Wound Care Wisconsin Medical LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Integrated Wound Care Wisconsin Medical LLC enrolled in Medicare?

Yes. Integrated Wound Care Wisconsin Medical LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Integrated Wound Care Wisconsin Medical LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Integrated Wound Care Wisconsin Medical 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 (3) 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 Wisconsin Medical LLC was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.