ADVANCE WOUND CARE PROS
NPI 1629861844
Nurse Practitioner - Primary Care in Van Nuys, CA
About Advance Wound Care Pros NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ADVANCE WOUND CARE PROS (NPI 1629861844) is a healthcare organization registered as a primary care in Van Nuys, California and active in the NPI registry since May 2025. The organization lists Gevork Ekimyan, Manager, 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)
Advance Wound Care Pros is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Advance Wound Care Pros, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (2)
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 Advance Wound Care Pros's NPI number?
The NPI number for Advance Wound Care Pros is 1629861844. It was assigned to this organization in the NPPES registry on May 28, 2025.
Where is Advance Wound Care Pros located?
Advance Wound Care Pros is located at 6257 Van Nuys Blvd Ste A, Van Nuys, CA 91401. The listed phone number is (818) 939-6289.
What is Advance Wound Care Pros's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Advance Wound Care Pros enrolled in Medicare?
Yes. Advance Wound Care Pros is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Advance Wound Care Pros?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Advance Wound Care Pros, in General Practice and Nurse Practitioner. 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 Advance Wound Care Pros was last updated on May 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Advance Wound Care Pros · NPI 1629861844
Primary Care organization in Van Nuys, California. Organization record, active in the CMS NPPES registry since May 28, 2025.
## Identity
- **NPI:** 1629861844 (Entity type: Organization)
- **Enumerated:** May 28, 2025
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **Organization subpart:** No
- **Authorized official:** Gevork Ekimyan, MANAGER
## Practice location
- **Address:** 6257 VAN NUYS BLVD STE A, Van Nuys, CA 91401-2733
- **Phone:** (818) 939-6289
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: General Practice (1), Nurse Practitioner (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 28, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1629861844) · Data from the CMS NPPES public registry.