MODERM WOUND CARE SPECIALIST LLC
NPI 1538043211
General Practice in San Jacinto, CA
About Moderm Wound Care Specialist Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MODERM WOUND CARE SPECIALIST LLC (NPI 1538043211) is a healthcare organization registered as a general practice in San Jacinto, California and active in the NPI registry since August 2025. The organization lists Tamara Pippin, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Moderm Wound Care 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 Moderm Wound Care Specialist LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Moderm Wound Care Specialist LLC's NPI number?
The NPI number for Moderm Wound Care Specialist LLC is 1538043211. It was assigned to this organization in the NPPES registry on August 4, 2025.
Where is Moderm Wound Care Specialist LLC located?
Moderm Wound Care Specialist LLC is located at 2263 Finch Cir, San Jacinto, CA 92582. The listed phone number is (888) 211-1498.
What is Moderm Wound Care Specialist LLC's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Moderm Wound Care Specialist LLC enrolled in Medicare?
Yes. Moderm Wound Care Specialist LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Moderm Wound Care Specialist LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Moderm Wound Care 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.
When was this NPI record last updated?
The NPPES record for Moderm Wound Care Specialist LLC was last updated on August 4, 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.
# Moderm Wound Care Specialist Llc · NPI 1538043211
General Practice organization in San Jacinto, California. Organization record, active in the CMS NPPES registry since August 4, 2025.
## Identity
- **NPI:** 1538043211 (Entity type: Organization)
- **Enumerated:** August 4, 2025
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **Organization subpart:** No
- **Authorized official:** Tamara Pippin, OWNER
## Practice location
- **Address:** 2263 FINCH CIR, San Jacinto, CA 92582-6964
- **Phone:** (888) 211-1498
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 4, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1538043211) · Data from the CMS NPPES public registry.