BREEDLOVE WOUND CARE LLC
NPI 1417772997
Nurse Practitioner - Family in Tatum, TX
About Breedlove Wound Care Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BREEDLOVE WOUND CARE LLC (NPI 1417772997) is a healthcare organization registered as a family in Tatum, Texas and active in the NPI registry since November 2024. The organization lists Elizabeth Ann Breedlove, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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)
Breedlove Wound Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Breedlove Wound Care LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (7)
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 Breedlove Wound Care LLC's NPI number?
The NPI number for Breedlove Wound Care LLC is 1417772997. It was assigned to this organization in the NPPES registry on November 19, 2024.
Where is Breedlove Wound Care LLC located?
Breedlove Wound Care LLC is located at 810 N Hill St Ste 2, Tatum, TX 75691. The listed phone number is (903) 947-2020.
What is Breedlove Wound Care LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Breedlove Wound Care LLC enrolled in Medicare?
Yes. Breedlove Wound Care LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Breedlove Wound Care LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 3 Medicare specialties reassign their Medicare billing to Breedlove Wound Care 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. The largest specialties are Nurse Practitioner (5), Family Practice (1) and General Practice (1). Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Breedlove Wound Care LLC accept?
Health plans from Blue Cross and Blue Shield of Texas list Breedlove 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 Breedlove Wound Care LLC was last updated on November 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.
# Breedlove Wound Care Llc · NPI 1417772997
Family organization in Tatum, Texas. Organization record, active in the CMS NPPES registry since November 19, 2024.
## Identity
- **NPI:** 1417772997 (Entity type: Organization)
- **Enumerated:** November 19, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Elizabeth Breedlove, OWNER
## Practice location
- **Address:** 810 N HILL ST STE 2, Tatum, TX 75691-1740
- **Phone:** (903) 947-2020
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (5), Family Practice (1), General Practice (1); 1 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 19, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1417772997) · Data from the CMS NPPES public registry.