MOBILE WOUND CARE SC
NPI 1649002734
Orthopaedic Surgery in Milwaukee, WI

Active since August 16, 2024
111 E WISCONSIN AVE STE 1925, MILWAUKEE, WI 53202(414) 323-0260 Get Directions Write a Review

NPPES record last updated: December 27, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 27, 2024, Aug 16, 2024 (2 updates tracked since 2024).

About Mobile Wound Care Sc NPPES

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

MOBILE WOUND CARE SC (NPI 1649002734) is a healthcare organization registered as an orthopaedic surgery in Milwaukee, Wisconsin and active in the NPI registry since August 2024. The organization lists Tyler Stout, Manager, as its authorized official.

NPPES Registry Identity

NPI1649002734
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameMOBILE WOUND CARE SC
Location Address111 E WISCONSIN AVE STE 1925Milwaukee, WI 53202-4825
Mailing Address111 E Wisconsin Ave Ste 1705Milwaukee, WI 53202-4811 · (414) 323-0260
Organization SubpartNo
Authorized OfficialTyler StoutManager · (337) 315-7927
Enumeration DateAugust 16, 2024
Last NPPES UpdateDecember 27, 20242 updates tracked since enumeration
NPPES CertifiedDecember 27, 2024
✔ NPI 1649002734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedRegistered Nurse · Wound CareTaxonomy 163WW0000X
Also ListedNurse PractitionerTaxonomy 363L00000X
111 E WISCONSIN AVE STE 1925, Milwaukee, WI 53202

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)

Mobile Wound Care Sc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Mobile Wound Care Sc, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Nurse Practitioner
NPI 1831815257
9200 W WISCONSIN AVE
Milwaukee, WI 53226
(414) 955-1700
✔ PECOS6.1 mi
Nurse Practitioner
NPI 1598214223
4821 N 64TH ST
Milwaukee, WI 53218
(262) 450-5045
✔ PECOS6.2 mi
Orthopedic Surgery
NPI 1285602482
3077 N MAYFAIR RD STE 305
Wauwatosa, WI 53222
(414) 384-6700
✔ PECOS✔ Accepts Medicare7.4 mi
Nurse Practitioner
NPI 1770398463
10500 W LOOMIS RD STE 130
Franklin, WI 53132
(414) 488-1111
✔ PECOS✔ Accepts Medicare13 mi
Nurse Practitioner
NPI 1205609229
27401 W HIGHWAY 22 STE 125
Barrington, IL 60010
(847) 381-3088
✔ PECOS60 mi
Nurse Practitioner
NPI 1962267674
33 E MAIN ST STE 610
Madison, WI 53703
(847) 386-7744
✔ PECOS✔ Accepts Medicare75 mi
Nurse Practitioner
NPI 1164060257
5808 W EDDY ST
Chicago, IL 60634
(312) 623-2303
✔ PECOS✔ Accepts Medicare76 mi
Nurse Practitioner
NPI 1467119388
2400 E CAPITOL DR
Appleton, WI 54911
(920) 831-5050
✔ PECOS✔ Accepts Medicare90 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 Mobile Wound Care Sc's NPI number?

The NPI number for Mobile Wound Care Sc is 1649002734. It was assigned to this organization in the NPPES registry on August 16, 2024.

Where is Mobile Wound Care Sc located?

Mobile Wound Care Sc is located at 111 E Wisconsin Ave Ste 1925, Milwaukee, WI 53202. The listed phone number is (414) 323-0260.

What is Mobile Wound Care Sc's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Mobile Wound Care Sc enrolled in Medicare?

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

How many clinicians bill Medicare through Mobile Wound Care Sc?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 2 Medicare specialties reassign their Medicare billing to Mobile Wound Care Sc. 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. The largest specialties are Nurse Practitioner (7) and Orthopedic Surgery (1). Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Mobile Wound Care Sc accept?

Health plans from Anthem Blue Cross and Blue Shield list Mobile Wound Care Sc 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 Mobile Wound Care Sc was last updated on December 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.