ADVANCED WOUND CARE OF ARIZONA PLLC
NPI 1720839665
Nurse Practitioner in Prescott, AZ
About Advanced Wound Care Of Arizona Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ADVANCED WOUND CARE OF ARIZONA PLLC (NPI 1720839665) is a healthcare organization registered as a nurse practitioner in Prescott, Arizona and active in the NPI registry since March 2024. The organization lists Ron Olsen, President/ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
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)
Advanced Wound Care Of Arizona Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Advanced Wound Care Of Arizona PLLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
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 Advanced Wound Care Of Arizona PLLC's NPI number?
The NPI number for Advanced Wound Care Of Arizona PLLC is 1720839665. It was assigned to this organization in the NPPES registry on March 28, 2024.
Where is Advanced Wound Care Of Arizona PLLC located?
Advanced Wound Care Of Arizona PLLC is located at 3667 Reflection Dr, Prescott, AZ 86305. The listed phone number is (928) 530-3230.
What is Advanced Wound Care Of Arizona PLLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Advanced Wound Care Of Arizona PLLC enrolled in Medicare?
Yes. Advanced Wound Care Of Arizona PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Advanced Wound Care Of Arizona PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to Advanced Wound Care Of Arizona 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. The largest specialties are Nurse Practitioner (4), General Surgery (1) and Podiatry (1). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Advanced Wound Care Of Arizona PLLC was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Advanced Wound Care Of Arizona Pllc · NPI 1720839665
Nurse Practitioner organization in Prescott, Arizona. Organization record, active in the CMS NPPES registry since March 28, 2024.
## Identity
- **NPI:** 1720839665 (Entity type: Organization)
- **Enumerated:** March 28, 2024
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **Organization subpart:** No
- **Authorized official:** Ron Olsen, PRESIDENT/CEO
## Practice location
- **Address:** 3667 REFLECTION DR, Prescott, AZ 86305-7188
- **Phone:** (928) 530-3230
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (4), General Surgery (1), Podiatry (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 30, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1720839665) · Data from the CMS NPPES public registry.