PRIMARY WOUND CARE SPECIALISTS LLC
NPI 1336469618
Specialist in Miami, FL

Active since June 09, 2010
4960 SW 72ND AVE, SUITE 310, MIAMI, FL 33155(305) 753-4500 Get Directions Write a Review

NPPES record last updated: June 9, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Primary Wound Care Specialists Llc NPPES

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

PRIMARY WOUND CARE SPECIALISTS LLC (NPI 1336469618) is a healthcare organization registered as a specialist in Miami, Florida and active in the NPI registry since June 2010. The organization lists Andy Castellanos, President, as its authorized official.

NPPES Registry Identity

NPI1336469618
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePRIMARY WOUND CARE SPECIALISTS LLC
Location Address4960 SW 72ND AVE, SUITE 310Miami, FL 33155-5544
Mailing Address4960 Sw 72nd Ave, Suite 310Miami, FL 33155-5544 · (305) 753-4500
Organization SubpartNo
Authorized OfficialAndy CastellanosPresident · (305) 753-4500
Enumeration DateJune 9, 2010
✔ NPI 1336469618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
4960 SW 72ND AVE, Miami, FL 33155

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Primary Wound Care Specialists 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 Primary Wound Care Specialists LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1578193553
10140 ROYAL PALM BLVD
Coral Springs, FL 33065
(954) 867-4589
✔ PECOS✔ Accepts Medicare37 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 Primary Wound Care Specialists LLC's NPI number?

The NPI number for Primary Wound Care Specialists LLC is 1336469618. It was assigned to this organization in the NPPES registry on June 9, 2010.

Where is Primary Wound Care Specialists LLC located?

Primary Wound Care Specialists LLC is located at 4960 SW 72nd Ave Suite 310, Miami, FL 33155. The listed phone number is (305) 753-4500.

What is Primary Wound Care Specialists LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Primary Wound Care Specialists LLC enrolled in Medicare?

Yes. Primary Wound Care Specialists LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Primary Wound Care Specialists LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Primary Wound Care Specialists 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 Primary Wound Care Specialists LLC was last updated on June 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.