PNW WOUND CARE
NPI 1609666064
Nurse Practitioner - Gerontology in Albany, OR

Active since May 08, 2025
3810 PACIFIC BLVD SW, ALBANY, OR 97321(541) 390-3858(541) 666-3752 Get Directions Write a Review

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

Record update history: Jun 9, 2025, May 8, 2025 (2 updates tracked since 2025).

About Pnw Wound Care NPPES

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

PNW WOUND CARE (NPI 1609666064) is a healthcare organization registered as a gerontology in Albany, Oregon and active in the NPI registry since May 2025. The organization lists Brandy Tolliver, Owner, as its authorized official.

NPPES Registry Identity

NPI1609666064
Entity TypeOrganization
Primary Taxonomy363LG0600X
Legal Business NamePNW WOUND CARE
Location Address3810 PACIFIC BLVD SWAlbany, OR 97321-7752
Mailing Address3810 Pacific Blvd SwAlbany, OR 97321-7752 · (541) 390-3858 · Fax (541) 666-3752
Fax(541) 666-3752
Organization SubpartNo
Authorized OfficialBrandy TolliverOwner · (541) 390-3858
Enumeration DateMay 8, 2025
Last NPPES UpdateJune 9, 20252 updates tracked since enumeration
NPPES CertifiedJune 9, 2025
✔ NPI 1609666064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X
3810 PACIFIC BLVD SW, Albany, OR 97321

Other Names 1

Doing Business AsPnw Wound Care

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 Care 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 Care, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1306370432
3810 PACIFIC BLVD SW
Albany, OR 97321
(541) 936-7549
✔ PECOS✔ Accepts MedicareSame address

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 Care's NPI number?

The NPI number for Pnw Wound Care is 1609666064. It was assigned to this organization in the NPPES registry on May 8, 2025.

Where is Pnw Wound Care located?

Pnw Wound Care is located at 3810 Pacific Blvd SW, Albany, OR 97321. The listed phone number is (541) 390-3858.

What is Pnw Wound Care's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Pnw Wound Care enrolled in Medicare?

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

How many clinicians bill Medicare through Pnw Wound Care?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Pnw Wound Care. 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 Care accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Pnw Wound Care 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 Care 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.