ADVANCE PRACTICE GERIATRICS AND WOUND SPECIALIST, LLC
NPI 1205484441
Nurse Practitioner - Gerontology in Rural Retreat, VA
About Advance Practice Geriatrics And Wound Specialist, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ADVANCE PRACTICE GERIATRICS AND WOUND SPECIALIST, LLC (NPI 1205484441) is a healthcare organization registered as a gerontology in Rural Retreat, Virginia and active in the NPI registry since August 2019. The organization lists Nancy Marshall, Owner, 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)
Advance Practice Geriatrics And Wound Specialist, Llc 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 Advance Practice Geriatrics And Wound Specialist, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Advance Practice Geriatrics And Wound Specialist, LLC's NPI number?
The NPI number for Advance Practice Geriatrics And Wound Specialist, LLC is 1205484441. It was assigned to this organization in the NPPES registry on August 30, 2019.
Where is Advance Practice Geriatrics And Wound Specialist, LLC located?
Advance Practice Geriatrics And Wound Specialist, LLC is located at 514 N Main St, Rural Retreat, VA 24368. The listed phone number is (276) 783-1827.
What is Advance Practice Geriatrics And Wound Specialist, LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
Is Advance Practice Geriatrics And Wound Specialist, LLC enrolled in Medicare?
Yes. Advance Practice Geriatrics And Wound Specialist, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Advance Practice Geriatrics And Wound Specialist, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Advance Practice Geriatrics And Wound Specialist, 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Advance Practice Geriatrics And Wound Specialist, LLC was last updated on September 9, 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.
# Advance Practice Geriatrics And Wound Specialist, Llc · NPI 1205484441
Gerontology organization in Rural Retreat, Virginia. Organization record, active in the CMS NPPES registry since August 30, 2019.
## Identity
- **NPI:** 1205484441 (Entity type: Organization)
- **Enumerated:** August 30, 2019
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **Organization subpart:** No
- **Authorized official:** Nancy Marshall, OWNER
## Practice location
- **Address:** 514 N MAIN ST, Rural Retreat, VA 24368-3123
- **Phone:** (276) 783-1827
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 9, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1205484441) · Data from the CMS NPPES public registry.