LSA WOUND CARE, PLLC
NPI 1366337610
Clinic/Center - Multi-Specialty in Lubbock, TX

Active since June 09, 2025
4617 94TH ST, LUBBOCK, TX 79424(512) 965-4557 Get Directions Write a Review

NPPES record last updated: August 19, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lsa Wound Care, Pllc NPPES

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

LSA WOUND CARE, PLLC (NPI 1366337610) is a healthcare organization registered as a multi-specialty in Lubbock, Texas and active in the NPI registry since June 2025. The organization lists Garry Mcintosh, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1366337610
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameLSA WOUND CARE, PLLC
Location Address4617 94TH STLubbock, TX 79424-5015
Mailing Address4617 94th StLubbock, TX 79424-5015
Organization SubpartNo
Authorized OfficialGarry McintoshBusiness Manager · (512) 965-4557
Enumeration DateJune 9, 2025
Last NPPES UpdateAugust 19, 2025
NPPES CertifiedAugust 19, 2025
✔ NPI 1366337610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
4617 94TH ST, Lubbock, TX 79424

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lsa Wound Care, Pllc 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 Lsa Wound Care, PLLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1598685943
5912 94TH ST
Lubbock, TX 79424
(806) 319-5651
✔ PECOS✔ Accepts Medicare1.8 mi
Nurse Practitioner
NPI 1396260733
602 INDIANA AVE
Lubbock, TX 79415
(806) 775-8200
✔ PECOS✔ Accepts Medicare5.6 mi
General Surgery
NPI 1205281623
155 N FRESNO ST
Fresno, CA 93701
(559) 459-5196
✔ PECOS✔ Accepts Medicare1,035 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 Lsa Wound Care, PLLC's NPI number?

The NPI number for Lsa Wound Care, PLLC is 1366337610. It was assigned to this organization in the NPPES registry on June 9, 2025.

Where is Lsa Wound Care, PLLC located?

Lsa Wound Care, PLLC is located at 4617 94th St, Lubbock, TX 79424. The listed phone number is (512) 965-4557.

What is Lsa Wound Care, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Lsa Wound Care, PLLC enrolled in Medicare?

Yes. Lsa Wound Care, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lsa Wound Care, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Lsa Wound Care, PLLC, in General Surgery 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Lsa Wound Care, PLLC accept?

Health plans from Blue Cross and Blue Shield of Texas list Lsa Wound Care, PLLC 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 Lsa Wound Care, PLLC was last updated on August 19, 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.