TRINITY PRIMARY CARE AND WOUND SPECIALISTS LLC
NPI 1710699285
Clinic/Center - Primary Care in Kansas City, KS

Active since December 15, 2022CLIA 17D2311564 · Waiver
8039 STATE AVE, KANSAS CITY, KS 66112(913) 499-9320(913) 291-2340 Get Directions Write a Review

NPPES record last updated: December 15, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Trinity Primary Care And Wound Specialists Llc NPPES

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

TRINITY PRIMARY CARE AND WOUND SPECIALISTS LLC (NPI 1710699285) is a healthcare organization registered as a primary care in Kansas City, Kansas and active in the NPI registry since December 2022. The organization holds a CLIA Waiver certificate valid through September 23, 2028 and lists Judith Mueni Kimatu, Owner, as its authorized official.

NPPES Registry Identity

NPI1710699285
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameTRINITY PRIMARY CARE AND WOUND SPECIALISTS LLC
Location Address8039 STATE AVEKansas City, KS 66112-2454
Mailing Address8039 State AveKansas City, KS 66112-2454 · (913) 499-9320 · Fax (913) 291-2340
Fax(913) 291-2340
Organization SubpartNo
Authorized OfficialJudith Mueni KimatuOwner · (913) 499-9320
Enumeration DateDecember 15, 2022
NPPES CertifiedDecember 15, 2022
✔ NPI 1710699285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
8039 STATE AVE, Kansas City, KS 66112

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Trinity Primary Care And Wound Specialists 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 Trinity Primary Care And Wound Specialists LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1962794586
10977 GRANADA LN SUITE 105
Leawood, KS 66211
(913) 215-5008
✔ PECOS15 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 17D2311564

Trinity Primary Care And Wound Specialists LLC · Kansas City, KS
Active · expires Sep 23, 2028
CLIA Number17D2311564
Laboratory TypePrimary Care Office
Certificate Effective DateSeptember 24, 2026
Certificate Expiration DateSeptember 23, 2028
Laboratory DirectorJudith M. Kimatu
Laboratory Phone(913) 285-5553
Laboratory LocationTrinity Primary Care And Wound Specialists LLC8043 State Ave, Kansas City, KS 66112
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Trinity Primary Care And Wound Specialists LLC's NPI number?

The NPI number for Trinity Primary Care And Wound Specialists LLC is 1710699285. It was assigned to this organization in the NPPES registry on December 15, 2022.

Where is Trinity Primary Care And Wound Specialists LLC located?

Trinity Primary Care And Wound Specialists LLC is located at 8039 State Ave, Kansas City, KS 66112. The listed phone number is (913) 499-9320.

What is Trinity Primary Care And Wound Specialists LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Trinity Primary Care And Wound Specialists LLC enrolled in Medicare?

Yes. Trinity Primary Care And Wound Specialists LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Trinity Primary Care And Wound Specialists LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Trinity Primary Care And Wound Specialists 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.

Does Trinity Primary Care And Wound Specialists LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 17D2311564) is associated with this NPI, valid through September 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Trinity Primary Care And Wound Specialists LLC was last updated on December 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.