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ADVANCED WOUND CARE LLC
NPI 1275341042
Nurse Practitioner - Family in Rockville, MD

Active since December 24, 2024
100 PARK AVE STE 108A, ROCKVILLE, MD 20850(703) 939-5763 Get Directions Write a Review

NPPES record last updated: May 31, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 31, 2025, Mar 12, 2025, Dec 24, 2024 (3 updates tracked since 2024).

About Advanced Wound Care Llc NPPES

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

ADVANCED WOUND CARE LLC (NPI 1275341042) is a healthcare organization registered as a family in Rockville, Maryland and active in the NPI registry since December 2024. The organization maintains a secondary practice location in Frederick and lists Tyler Stout, Manager, as its authorized official.

NPPES Registry Identity

NPI1275341042
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameADVANCED WOUND CARE LLC
Location Address100 PARK AVE STE 108ARockville, MD 20850-2651
Mailing Address100 Park Ave Ste 108aRockville, MD 20850-2651 · (703) 939-5763
Phone(703) 939-5763
Organization SubpartNo
Authorized OfficialTyler StoutManager · (337) 315-7927
Enumeration DateDecember 24, 2024
Last NPPES UpdateMay 31, 20253 updates tracked since enumeration
NPPES CertifiedMay 31, 2025
✔ NPI 1275341042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedNurse PractitionerTaxonomy 363L00000X
100 PARK AVE STE 108A, Rockville, MD 20850
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Secondary Practice Location 1

Location 13597 Holborn PlFrederick, MD 21704-7404 · Phone (301) 575-4458

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHELSEA DEKLE APRN
Nurse Practitioner (Family)
100 PARK AVE STE 108A
ROCKVILLE, MD 20850
Montgomery County (240) 444-5563
ADVANCED WOUND CARE OF MARYLAND
Nurse Practitioner
100 PARK AVE STE 108A
ROCKVILLE, MD 20850
Montgomery County (301) 575-4458

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 Advanced Wound Care LLC's NPI number?

The NPI number for Advanced Wound Care LLC is 1275341042. It was assigned to this organization in the NPPES registry on December 24, 2024.

Where is Advanced Wound Care LLC located?

Advanced Wound Care LLC is located at 100 Park Ave Ste 108A, Rockville, MD 20850. The listed phone number is (703) 939-5763.

What is Advanced Wound Care LLC's specialty?

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

What insurance does Advanced Wound Care LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Advanced Wound Care LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Advanced Wound Care LLC was last updated on May 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.