PNW WOUND SPECIALIST LLC
NPI 1497542229
Physician Assistant - Medical in Spokane Valley, WA

Active since April 24, 2025
12925 E MANSFIELD AVE APT S106, SPOKANE VALLEY, WA 99216(509) 701-7014 Get Directions Write a Review

NPPES record last updated: June 9, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Pnw Wound Specialist Llc NPPES

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

PNW WOUND SPECIALIST LLC (NPI 1497542229) is a healthcare organization registered as a medical in Spokane Valley, Washington and active in the NPI registry since April 2025. The organization lists Saint Lorenzo, Owner, as its authorized official.

NPPES Registry Identity

NPI1497542229
Entity TypeOrganization
Primary Taxonomy363AM0700X
Legal Business NamePNW WOUND SPECIALIST LLC
Location Address12925 E MANSFIELD AVE APT S106Spokane Valley, WA 99216-5155
Mailing Address12925 E Mansfield Ave Apt S106Spokane Valley, WA 99216-5155 · (509) 701-7014
Organization SubpartNo
Authorized OfficialSaint LorenzoOwner · (509) 701-7014
Enumeration DateApril 24, 2025
Last NPPES UpdateJune 9, 2025
NPPES CertifiedJune 9, 2025
✔ NPI 1497542229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
12925 E MANSFIELD AVE APT S106, Spokane Valley, WA 99216

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

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)

Pnw Wound Specialist 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 Pnw Wound Specialist LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Dermatology
NPI 1275669459
12811 8TH AVE W SUITE D-109
Everett, WA 98204
(425) 743-7888
✔ PECOS✔ Accepts Medicare234 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 Pnw Wound Specialist LLC's NPI number?

The NPI number for Pnw Wound Specialist LLC is 1497542229. It was assigned to this organization in the NPPES registry on April 24, 2025.

Where is Pnw Wound Specialist LLC located?

Pnw Wound Specialist LLC is located at 12925 E Mansfield Ave Apt S106, Spokane Valley, WA 99216. The listed phone number is (509) 701-7014.

What is Pnw Wound Specialist LLC's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Pnw Wound Specialist LLC enrolled in Medicare?

Yes. Pnw Wound Specialist LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pnw Wound Specialist LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Pnw Wound Specialist 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.

What insurance does Pnw Wound Specialist LLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Pnw Wound Specialist 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 Pnw Wound Specialist LLC was last updated on June 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.