OLD MISSION WOUND CARE SOUTH CAROLINA LLC
NPI 1699514067
Specialist in Traverse City, MI
About Old Mission Wound Care South Carolina Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OLD MISSION WOUND CARE SOUTH CAROLINA LLC (NPI 1699514067) is a healthcare organization registered as a specialist in Traverse City, Michigan and active in the NPI registry since May 2024. The organization lists Christopher Paul Mason, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Old Mission Wound Care South Carolina Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
12Medicare enrollment records show 12 clinicians reassign Medicare billing to Old Mission Wound Care South Carolina LLC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (12)
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 Old Mission Wound Care South Carolina LLC's NPI number?
The NPI number for Old Mission Wound Care South Carolina LLC is 1699514067. It was assigned to this organization in the NPPES registry on May 23, 2024.
Where is Old Mission Wound Care South Carolina LLC located?
Old Mission Wound Care South Carolina LLC is located at 1989 Kroupa Rd, Traverse City, MI 49686. The listed phone number is (231) 260-4622.
What is Old Mission Wound Care South Carolina LLC's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Old Mission Wound Care South Carolina LLC enrolled in Medicare?
Yes. Old Mission Wound Care South Carolina LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Old Mission Wound Care South Carolina LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Old Mission Wound Care South Carolina 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 Old Mission Wound Care South Carolina LLC was last updated on August 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Old Mission Wound Care South Carolina Llc · NPI 1699514067
Specialist organization in Traverse City, Michigan. Organization record, active in the CMS NPPES registry since May 23, 2024.
## Identity
- **NPI:** 1699514067 (Entity type: Organization)
- **Enumerated:** May 23, 2024
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Christopher Mason, OWNER
## Practice location
- **Address:** 1989 KROUPA RD, Traverse City, MI 49686-9759
- **Phone:** (231) 260-4622
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 12 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 24, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1699514067) · Data from the CMS NPPES public registry.