GENESIS WOUND CARE CENTER LLC
NPI 1306516919
Clinic/Center in Miami, FL

Active since September 15, 2021CLIA 10D2244541 · Microscopy
4995 NW 72ND AVE STE 406, MIAMI, FL 33166(305) 603-8410(786) 431-5976 Get Directions Write a Review

NPPES record last updated: September 16, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Genesis Wound Care Center Llc NPPES

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

GENESIS WOUND CARE CENTER LLC (NPI 1306516919) is a healthcare organization registered as a clinic/center in Miami, Florida and active in the NPI registry since September 2021. The organization holds a CLIA Microscopy certificate valid through December 1, 2027 and lists Mayelin Alonso, Owner, as its authorized official.

NPPES Registry Identity

NPI1306516919
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameGENESIS WOUND CARE CENTER LLC
Location Address4995 NW 72ND AVE STE 406Miami, FL 33166-5643
Mailing Address4995 Nw 72nd Ave Ste 406Miami, FL 33166-5643 · (305) 603-8410 · Fax (786) 431-5976
Fax(786) 431-5976
Organization SubpartNo
Authorized OfficialMayelin AlonsoOwner · (305) 603-8410
Enumeration DateSeptember 15, 2021
Last NPPES UpdateSeptember 16, 2021
NPPES CertifiedSeptember 16, 2021
✔ NPI 1306516919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
4995 NW 72ND AVE STE 406, Miami, FL 33166

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Genesis Wound Care Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

18

Medicare enrollment records show 18 clinicians reassign Medicare billing to Genesis Wound Care Center LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 14 within 10 miles. They are listed nearest first.

Clinicians, nearest first (18)

Nurse Practitioner
NPI 1134802929
4995 NW 72ND AVE STE 406
Miami, FL 33166
(305) 603-8410
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1548803836
3750 W 16TH AVE STE 130U
Hialeah, FL 33012
(786) 431-1036
✔ PECOS2.6 mi
Nurse Practitioner
NPI 1376317172
5200 BLUE LAGOON DR
Miami, FL 33126
(786) 382-0433
✔ PECOS✔ Accepts Medicare3.2 mi
Nurse Practitioner
NPI 1710447172
10101 W OKEECHOBEE RD APT 24202
Hialeah, FL 33016
(786) 290-6123
✔ PECOS✔ Accepts Medicare3.4 mi
Nurse Practitioner
NPI 1902592702
8333 W OKEECHOBEE RD
Hialeah Gardens, FL 33016
(872) 231-3162
✔ PECOS3.4 mi
Nurse Practitioner
NPI 1982287207
8260 W FLAGLER ST STE 2I
Miami, FL 33144
(786) 715-9183
✔ PECOS✔ Accepts Medicare3.5 mi
Nurse Practitioner
NPI 1013475938
720 SW 60TH CT
Miami, FL 33144
(305) 546-7105
✔ PECOS✔ Accepts Medicare4.0 mi
Nurse Practitioner
NPI 1861970428
1414 NW 107TH AVE STE 301
Sweetwater, FL 33172
(305) 783-9480
✔ PECOS✔ Accepts Medicare4.1 mi
Nurse Practitioner
NPI 1285245282
9701 SW 32ND ST
Miami, FL 33165
(786) 329-9601
✔ PECOS✔ Accepts Medicare5.9 mi
Nurse Practitioner
NPI 1508738485
14875 NW 77TH AVE
Miami Lakes, FL 33014
(305) 822-2380
✔ PECOS✔ Accepts Medicare6.2 mi
Nurse Practitioner
NPI 1790310779
1646 SW 136TH PL
Miami, FL 33175
(786) 210-8162
✔ PECOS✔ Accepts Medicare7.9 mi
Nurse Practitioner
NPI 1306448303
1281 SW 144TH CT
Miami, FL 33184
(305) 492-0885
✔ PECOS✔ Accepts Medicare8.4 mi
Nurse Practitioner
NPI 1083190755
10300 SW 72ND ST
Miami, FL 33173
(305) 591-1606
✔ PECOS8.7 mi
Nurse Practitioner
NPI 1518414077
7306 SW 117TH AVE
Miami, FL 33183
(305) 220-0220
✔ PECOS9.2 mi
Nurse Practitioner
NPI 1154945731
11180 SW 107TH ST APT 107
Miami, FL 33176
(786) 444-4806
✔ PECOS11 mi
Nurse Practitioner
NPI 1851017099
10200 SW 138TH CT
Miami, FL 33186
(786) 306-2678
✔ PECOS✔ Accepts Medicare12 mi
Nurse Practitioner
NPI 1104515824
18212 SW 109TH PL
Miami, FL 33157
(786) 237-8869
✔ PECOS15 mi
Nurse Practitioner
NPI 1740947761
27455 S DIXIE HWY UNIT 1
Homestead, FL 33032
(305) 245-3247
✔ PECOS22 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 10D2244541

Genesis Wound Care Center, LLC · Miami, FL
Active · expires Dec 1, 2027
CLIA Number10D2244541
Laboratory TypeCommunity Clinic
Certificate Effective DateDecember 2, 2025
Certificate Expiration DateDecember 1, 2027
Laboratory DirectorMayelin Alonso
Laboratory Phone(305) 603-8410
Laboratory LocationGenesis Wound Care Center, LLC4995 NW 72 Ave Suite 406, Miami, FL 33166
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Genesis Wound Care Center LLC's NPI number?

The NPI number for Genesis Wound Care Center LLC is 1306516919. It was assigned to this organization in the NPPES registry on September 15, 2021.

Where is Genesis Wound Care Center LLC located?

Genesis Wound Care Center LLC is located at 4995 NW 72nd Ave Ste 406, Miami, FL 33166. The listed phone number is (305) 603-8410.

What is Genesis Wound Care Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Genesis Wound Care Center LLC enrolled in Medicare?

Yes. Genesis Wound Care Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Genesis Wound Care Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 18 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Genesis Wound Care Center 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. Of these, 1 practice at this address and 14 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Genesis Wound Care Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 10D2244541) is associated with this NPI, valid through December 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Genesis Wound Care Center LLC was last updated on September 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.