VITAL WOUND CARE LLC
NPI 1669296687
General Practice in West Palm Beach, FL

Active since November 15, 2024
1749 N MILITARY TRL STE A, WEST PALM BEACH, FL 33409(561) 247-4462 Get Directions Write a Review

NPPES record last updated: November 15, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Vital Wound Care Llc NPPES

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

VITAL WOUND CARE LLC (NPI 1669296687) is a healthcare organization registered as a general practice in West Palm Beach, Florida and active in the NPI registry since November 2024. The organization lists Nerlyn Jestine, Ceo, as its authorized official.

NPPES Registry Identity

NPI1669296687
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameVITAL WOUND CARE LLC
Location Address1749 N MILITARY TRL STE AWest Palm Beach, FL 33409-4769
Mailing Address1749 N Military Trl Ste AWest Palm Beach, FL 33409-4769
Organization SubpartNo
Authorized OfficialNerlyn JestineCeo · (561) 460-2464
Enumeration DateNovember 15, 2024
NPPES CertifiedNovember 15, 2024
✔ NPI 1669296687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1749 N MILITARY TRL STE A, West Palm Beach, FL 33409

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vital Wound Care Llc 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 Vital Wound Care LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1457705618
4121 PARKER AVE
West Palm Beach, FL 33405
(561) 460-2464
✔ PECOS✔ Accepts Medicare3.6 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 Vital Wound Care LLC's NPI number?

The NPI number for Vital Wound Care LLC is 1669296687. It was assigned to this organization in the NPPES registry on November 15, 2024.

Where is Vital Wound Care LLC located?

Vital Wound Care LLC is located at 1749 N Military Trl Ste A, West Palm Beach, FL 33409. The listed phone number is (561) 247-4462.

What is Vital Wound Care LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Vital Wound Care LLC enrolled in Medicare?

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

How many clinicians bill Medicare through Vital Wound Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Vital Wound Care 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Vital Wound Care LLC was last updated on November 15, 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.