ELITE WOUND CARE, LLC
NPI 1396487013
Orthopaedic Surgery in Tulsa, OK

Active since April 12, 2022
8660 E 103RD ST, TULSA, OK 74133(918) 970-6194(918) 970-6194 Get Directions Write a Review

NPPES record last updated: September 24, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 24, 2022, Apr 12, 2022 (2 updates tracked since 2022).

About Elite Wound Care, Llc NPPES

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

ELITE WOUND CARE, LLC (NPI 1396487013) is a healthcare organization registered as an orthopaedic surgery in Tulsa, Oklahoma and active in the NPI registry since April 2022. The organization lists Darnell E. Blackmon, Owner, as its authorized official.

NPPES Registry Identity

NPI1396487013
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameELITE WOUND CARE, LLC
Location Address8660 E 103RD STTulsa, OK 74133-6982
Mailing Address8660 E 103rd StTulsa, OK 74133-6982 · (918) 830-0059 · Fax (918) 970-6194
Fax(918) 970-6194
Organization SubpartNo
Authorized OfficialDarnell E. BlackmonOwner · (918) 830-0059
Enumeration DateApril 12, 2022
Last NPPES UpdateSeptember 24, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2022
✔ NPI 1396487013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedGeneral PracticeTaxonomy 208D00000X
8660 E 103RD ST, Tulsa, OK 74133

Group Practice 2

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

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

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Elite Wound Care, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Orthopedic Surgery
NPI 1831150655
8660 E 103RD ST
Tulsa, OK 74133
(918) 830-0059
✔ PECOS✔ Accepts MedicareSame address
Certified Clinical Nurse Specialist (CNS)
NPI 1073146312
1923 S UTICA AVE
Tulsa, OK 74104
(918) 744-2769
✔ PECOS✔ Accepts Medicare9.6 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 Elite Wound Care, LLC's NPI number?

The NPI number for Elite Wound Care, LLC is 1396487013. It was assigned to this organization in the NPPES registry on April 12, 2022.

Where is Elite Wound Care, LLC located?

Elite Wound Care, LLC is located at 8660 E 103rd St, Tulsa, OK 74133. The listed phone number is (918) 970-6194.

What is Elite Wound Care, LLC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Elite Wound Care, LLC enrolled in Medicare?

Yes. Elite Wound Care, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Elite Wound Care, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Elite Wound Care, LLC, in Certified Clinical Nurse Specialist (CNS) and Orthopedic Surgery. 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 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Elite Wound Care, LLC was last updated on September 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.