WACO WOUND CARE, PLLC
NPI 1548057425
Family Medicine in Waco, TX

Active since April 23, 2025
1300 LAKE AIR DR STE 7, WACO, TX 76710(254) 744-5877 Get Directions Write a Review

NPPES record last updated: April 23, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Waco Wound Care, Pllc NPPES

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

WACO WOUND CARE, PLLC (NPI 1548057425) is a healthcare organization registered as a family medicine in Waco, Texas and active in the NPI registry since April 2025. The organization lists Jennifer Slover, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1548057425
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWACO WOUND CARE, PLLC
Location Address1300 LAKE AIR DR STE 7Waco, TX 76710-4452
Mailing Address1300 Lake Air Dr Ste 7Waco, TX 76710-4452
Organization SubpartNo
Authorized OfficialJennifer SloverOffice Manager · (254) 744-5877
Enumeration DateApril 23, 2025
NPPES CertifiedApril 23, 2025
✔ NPI 1548057425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1300 LAKE AIR DR STE 7, Waco, TX 76710

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Waco Wound Care, Pllc 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 Waco Wound Care, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1821555335
2240 GULF FWY S FL 4
League City, TX 77573
(832) 505-1234
✔ PECOS✔ Accepts Medicare188 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 Waco Wound Care, PLLC's NPI number?

The NPI number for Waco Wound Care, PLLC is 1548057425. It was assigned to this organization in the NPPES registry on April 23, 2025.

Where is Waco Wound Care, PLLC located?

Waco Wound Care, PLLC is located at 1300 Lake Air Dr Ste 7, Waco, TX 76710. The listed phone number is (254) 744-5877.

What is Waco Wound Care, PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Waco Wound Care, PLLC enrolled in Medicare?

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

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

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Waco Wound Care, PLLC. 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 Waco Wound Care, PLLC was last updated on April 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.