VALLEY MOBILE WOUND CARE PLLC
NPI 1659182947
Nurse Practitioner in Provo, UT

Active since January 15, 2025
1288 DEVONSHIRE DR., PROVO, UT 84604(801) 664-7688 Get Directions Write a Review

NPPES record last updated: February 24, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Valley Mobile Wound Care Pllc NPPES

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

VALLEY MOBILE WOUND CARE PLLC (NPI 1659182947) is a healthcare organization registered as a nurse practitioner in Provo, Utah and active in the NPI registry since January 2025. The organization maintains a secondary practice location in Gilbert and lists Brady Ewing, Owner, as its authorized official.

NPPES Registry Identity

NPI1659182947
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameVALLEY MOBILE WOUND CARE PLLC
Location Address1288 DEVONSHIRE DR.Provo, UT 84604
Mailing Address1288 Devonshire Dr.Provo, UT 84604 · (801) 664-7688
Organization SubpartNo
Authorized OfficialBrady EwingOwner · (845) 543-5211
Enumeration DateJanuary 15, 2025
Last NPPES UpdateFebruary 24, 2025
NPPES CertifiedFebruary 24, 2025
✔ NPI 1659182947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X
Also ListedNurse Practitioner · Community HealthTaxonomy 363LC1500X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X
1288 DEVONSHIRE DR., Provo, UT 84604

Secondary Practice Location 1

Location 13885 S. Valvista Dr., #102Gilbert, AZ 85297 · Phone (801) 664-7688

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)

Valley Mobile 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 Valley Mobile Wound Care PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1285277798
1288 DEVONSHIRE DR
Provo, UT 84604
(877) 258-6331
✔ 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 Valley Mobile Wound Care PLLC's NPI number?

The NPI number for Valley Mobile Wound Care PLLC is 1659182947. It was assigned to this organization in the NPPES registry on January 15, 2025.

Where is Valley Mobile Wound Care PLLC located?

Valley Mobile Wound Care PLLC is located at 1288 Devonshire Dr., Provo, UT 84604. The listed phone number is (801) 664-7688.

What is Valley Mobile Wound Care PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Valley Mobile Wound Care PLLC enrolled in Medicare?

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

How many clinicians bill Medicare through Valley Mobile Wound Care PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Valley Mobile 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.

What insurance does Valley Mobile Wound Care PLLC accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Utah list Valley Mobile Wound Care PLLC 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 Valley Mobile Wound Care PLLC was last updated on February 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.