INTEGRATED WOUND CARE MINNESOTA PLLC
NPI 1205390457
General Practice in Delano, MN

Active since January 22, 2019
433 COUNTY ROAD 30 SE, DELANO, MN 55328(718) 705-6010 Get Directions Write a Review

NPPES record last updated: January 12, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 12, 2026, Jun 2, 2020, Jan 22, 2019 (3 updates tracked since 2019).

About Integrated Wound Care Minnesota Pllc NPPES

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

INTEGRATED WOUND CARE MINNESOTA PLLC (NPI 1205390457) is a healthcare organization registered as a general practice in Delano, Minnesota and active in the NPI registry since January 2019. The organization lists Diane Lusas, President, as its authorized official.

NPPES Registry Identity

NPI1205390457
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameINTEGRATED WOUND CARE MINNESOTA PLLC
Location Address433 COUNTY ROAD 30 SEDelano, MN 55328-9000
Mailing Address492c Cedar Ln Ste 514Teaneck, NJ 07666-1713 · (718) 705-6010
Organization SubpartNo
Authorized OfficialDiane LusasPresident · (212) 734-6621
Enumeration DateJanuary 22, 2019
Last NPPES UpdateJanuary 12, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2026
✔ NPI 1205390457 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
433 COUNTY ROAD 30 SE, Delano, MN 55328

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 Minnesota Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

43

Medicare enrollment records show 43 clinicians reassign Medicare billing to Integrated Wound Care Minnesota PLLC, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Nurse Practitioner39
Certified Clinical Nurse Specialist (CNS)2
Family Practice1
General Surgery1

Nearest to this location (20)

See all 43
Nurse Practitioner
NPI 1003664525
19427 136TH AVE N
Rogers, MN 55374
(763) 516-4476
✔ PECOS✔ Accepts Medicare14 mi
Nurse Practitioner
NPI 1609632223
464 2ND ST STE 204
Excelsior, MN 55331
(612) 787-8408
✔ PECOS✔ Accepts Medicare15 mi
Nurse Practitioner
NPI 1679387054
464 2ND ST STE 204
Excelsior, MN 55331
(612) 787-8408
✔ PECOS✔ Accepts Medicare15 mi
Nurse Practitioner
NPI 1962882696
401 CARLSON PKWY MAIL ROUTE CP340
Minnetonka, MN 55305
(952) 992-3581
✔ PECOS✔ Accepts Medicare16 mi
Nurse Practitioner
NPI 1073172003
9512 PINEVIEW LN N
Maple Grove, MN 55369
(763) 923-5608
✔ PECOS✔ Accepts Medicare18 mi
Nurse Practitioner
NPI 1417550948
1710 DOUGLAS DR N STE 102
Minneapolis, MN 55422
(763) 843-2833
✔ PECOS✔ Accepts Medicare21 mi
Nurse Practitioner
NPI 1497487813
13945 ANDERSON LAKES PKWY APT 219
Eden Prairie, MN 55344
(763) 221-6963
✔ PECOS✔ Accepts Medicare21 mi
Nurse Practitioner
NPI 1578101747
7400 122ND AVE N
Champlin, MN 55316
(763) 458-2415
✔ PECOS22 mi
Nurse Practitioner
NPI 1003046996
3300 OAKDALE AVE N
Robbinsdale, MN 55422
(763) 520-5110
✔ PECOS✔ Accepts Medicare23 mi
Nurse Practitioner
NPI 1992523898
8056 JAMES AVE N
Brooklyn Park, MN 55444
(201) 214-9999
✔ PECOS✔ Accepts Medicare24 mi
Nurse Practitioner
NPI 1306032065
2104 NORTHDALE BLVD NW SUITE 220
Minneapolis, MN 55433
(763) 507-6000
✔ PECOS✔ Accepts Medicare24 mi
Nurse Practitioner
NPI 1801557145
6401 FRANCE AVE S
Edina, MN 55435
(952) 924-5000
✔ PECOS✔ Accepts Medicare25 mi
Nurse Practitioner
NPI 1316724156
913 E 26TH ST STE 305
Minneapolis, MN 55404
(612) 871-7278
✔ PECOS26 mi
Certified Clinical Nurse Specialist (CNS)
NPI 1891129425
6625 LYNDALE AVE S STE 300
Richfield, MN 55423
(612) 788-8778
✔ PECOS✔ Accepts Medicare27 mi
Nurse Practitioner
NPI 1598039463
10961 CLUB WEST PKWY
Blaine, MN 55449
(635) 282-9877
✔ PECOS✔ Accepts Medicare28 mi
Nurse Practitioner
NPI 1982945937
UNITED HOSPITAL 333 NORTH SMITH AVE
St Paul, MN 55102
(651) 241-8000
✔ PECOS34 mi
Nurse Practitioner
NPI 1699982876
640 JACKSON ST # MS 11108B
Saint Paul, MN 55101
(651) 254-4816
✔ PECOS34 mi
Nurse Practitioner
NPI 1518583590
1185 TOWN CENTRE DR
Eagan, MN 55123
(760) 583-1525
✔ PECOS34 mi
Nurse Practitioner
NPI 1841345139
401 PHALEN BLVD
Saint Paul, MN 55130
(651) 254-7980
✔ PECOS✔ Accepts Medicare35 mi
Nurse Practitioner
NPI 1811324437
205 WABASHA ST S
Saint Paul, MN 55107
(952) 967-5584
✔ PECOS35 mi
See all 43 clinicians

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 Minnesota PLLC's NPI number?

The NPI number for Integrated Wound Care Minnesota PLLC is 1205390457. It was assigned to this organization in the NPPES registry on January 22, 2019.

Where is Integrated Wound Care Minnesota PLLC located?

Integrated Wound Care Minnesota PLLC is located at 433 County Road 30 SE, Delano, MN 55328. The listed phone number is (718) 705-6010.

What is Integrated Wound Care Minnesota PLLC's specialty?

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

Is Integrated Wound Care Minnesota PLLC enrolled in Medicare?

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

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

According to the CMS Revalidation Reassignment List (October 2026 release), 43 clinicians in 4 Medicare specialties reassign their Medicare billing to Integrated Wound Care Minnesota 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 (39), Certified Clinical Nurse Specialist (CNS) (2) and Family Practice (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 Minnesota PLLC was last updated on January 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.