COVENANT WOUND CARE LLC
NPI 1225920705
Nurse Practitioner - Family in Flagstaff, AZ
About Covenant Wound Care Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COVENANT WOUND CARE LLC (NPI 1225920705) is a healthcare organization registered as a family in Flagstaff, Arizona and active in the NPI registry since July 2025. The organization maintains a secondary practice location in Flagstaff and lists Michael Dale Hilburn, Owner/provider, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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)
Covenant Wound Care 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 Covenant Wound Care 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 Covenant Wound Care LLC's NPI number?
The NPI number for Covenant Wound Care LLC is 1225920705. It was assigned to this organization in the NPPES registry on July 17, 2025.
Where is Covenant Wound Care LLC located?
Covenant Wound Care LLC is located at 2000 S Thompson St, Flagstaff, AZ 86001. The listed phone number is (928) 226-6400.
What is Covenant Wound Care LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Covenant Wound Care LLC enrolled in Medicare?
Yes. Covenant Wound Care LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Covenant Wound Care LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Covenant Wound Care 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 Covenant Wound Care LLC was last updated on December 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Covenant Wound Care Llc · NPI 1225920705
Family organization in Flagstaff, Arizona. Organization record, active in the CMS NPPES registry since July 17, 2025.
## Identity
- **NPI:** 1225920705 (Entity type: Organization)
- **Enumerated:** July 17, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Michael Hilburn, OWNER/PROVIDER
## Practice location
- **Address:** 2000 S THOMPSON ST, Flagstaff, AZ 86001-8759
- **Phone:** (928) 226-6400
## 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:** December 4, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1225920705) · Data from the CMS NPPES public registry.