WOUND CARE OF WISCONSIN LLC
NPI 1669296364
Clinic/Center - Primary Care in Waupun, WI
About Wound Care Of Wisconsin Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WOUND CARE OF WISCONSIN LLC (NPI 1669296364) is a healthcare organization registered as a primary care in Waupun, Wisconsin and active in the NPI registry since November 2024. The organization lists Randall Blohowiak, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Group Practice 1
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)
Wound Care Of Wisconsin Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Wound Care Of Wisconsin LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
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 Wound Care Of Wisconsin LLC's NPI number?
The NPI number for Wound Care Of Wisconsin LLC is 1669296364. It was assigned to this organization in the NPPES registry on November 11, 2024.
Where is Wound Care Of Wisconsin LLC located?
Wound Care Of Wisconsin LLC is located at 160 Gateway Dr, Waupun, WI 53963. The listed phone number is (920) 324-9899.
What is Wound Care Of Wisconsin LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Wound Care Of Wisconsin LLC enrolled in Medicare?
Yes. Wound Care Of Wisconsin LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Wound Care Of Wisconsin LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Wound Care Of Wisconsin LLC. 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Wound Care Of Wisconsin LLC accept?
Health plans from Anthem Blue Cross and Blue Shield list Wound Care Of Wisconsin LLC 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 Wound Care Of Wisconsin LLC was last updated on November 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.
# Wound Care Of Wisconsin Llc · NPI 1669296364
Primary Care organization in Waupun, Wisconsin. Organization record, active in the CMS NPPES registry since November 11, 2024.
## Identity
- **NPI:** 1669296364 (Entity type: Organization)
- **Enumerated:** November 11, 2024
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Randall Blohowiak, OWNER
## Practice location
- **Address:** 160 GATEWAY DR, Waupun, WI 53963-2276
- **Phone:** (920) 324-9899
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 21, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1669296364) · Data from the CMS NPPES public registry.