CENTRAL PENN MOBILE WOUND CARE
NPI 1205642881
Nurse Practitioner - Family in Lewisburg, PA

Active since December 09, 2024
560 HARDSCRABBLE LN, LEWISBURG, PA 17837(858) 382-2764 Get Directions Write a Review

NPPES record last updated: December 9, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Central Penn Mobile Wound Care NPPES

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

CENTRAL PENN MOBILE WOUND CARE (NPI 1205642881) is a healthcare organization registered as a family in Lewisburg, Pennsylvania and active in the NPI registry since December 2024. The organization lists Kushaljit Dhesi, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1205642881
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameCENTRAL PENN MOBILE WOUND CARE
Location Address560 HARDSCRABBLE LNLewisburg, PA 17837-8059
Mailing Address560 Hardscrabble LnLewisburg, PA 17837-8059
Organization SubpartNo
Authorized OfficialKushaljit DhesiAuthorized Official · (858) 382-2764
Enumeration DateDecember 9, 2024
NPPES CertifiedDecember 8, 2024
✔ NPI 1205642881 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
560 HARDSCRABBLE LN, Lewisburg, PA 17837

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)

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

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Central Penn Mobile Wound Care, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1083075626
400 HIGHLAND AVE
Lewistown, PA 17044
(717) 248-5411
✔ PECOS✔ Accepts Medicare42 mi
Anesthesiology
NPI 1124348784
400 HIGHLAND AVE
Lewistown, PA 17044
(717) 242-7121
✔ PECOS✔ Accepts Medicare42 mi
Nurse Practitioner
NPI 1922529577
400 HIGHLAND AVE
Lewistown, PA 17044
(717) 242-7109
✔ PECOS42 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 Central Penn Mobile Wound Care's NPI number?

The NPI number for Central Penn Mobile Wound Care is 1205642881. It was assigned to this organization in the NPPES registry on December 9, 2024.

Where is Central Penn Mobile Wound Care located?

Central Penn Mobile Wound Care is located at 560 Hardscrabble Ln, Lewisburg, PA 17837. The listed phone number is (858) 382-2764.

What is Central Penn Mobile Wound Care's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Central Penn Mobile Wound Care enrolled in Medicare?

Yes. Central Penn Mobile Wound Care is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Central Penn Mobile Wound Care?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Central Penn Mobile Wound Care, in Anesthesiology and Nurse Practitioner. 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 Central Penn Mobile Wound Care was last updated on December 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.