FIRST COAST WOUND CARE LLC
NPI 1720868128
Registered Nurse - Wound Care in Saint Augustine, FL
About First Coast Wound Care Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FIRST COAST WOUND CARE LLC (NPI 1720868128) is a healthcare organization registered as a wound care in Saint Augustine, Florida and active in the NPI registry since October 2023. The organization lists Kristi Lord, Authorized Person, 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)
First Coast 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 First Coast Wound Care LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 First Coast Wound Care LLC's NPI number?
The NPI number for First Coast Wound Care LLC is 1720868128. It was assigned to this organization in the NPPES registry on October 3, 2023.
Where is First Coast Wound Care LLC located?
First Coast Wound Care LLC is located at 9190 August Cir, Saint Augustine, FL 32080. The listed phone number is (904) 599-6131.
What is First Coast Wound Care LLC's specialty?
The primary specialty registered for this NPI is Registered Nurse, specializing in Wound Care, with taxonomy code 163WW0000X.
Is First Coast Wound Care LLC enrolled in Medicare?
Yes. First Coast Wound Care LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through First Coast Wound Care LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to First Coast 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 First Coast Wound Care LLC was last updated on October 5, 2023. 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.
# First Coast Wound Care Llc · NPI 1720868128
Wound Care organization in Saint Augustine, Florida. Organization record, active in the CMS NPPES registry since October 3, 2023.
## Identity
- **NPI:** 1720868128 (Entity type: Organization)
- **Enumerated:** October 3, 2023
- **Primary specialty:** Registered Nurse - Wound Care · taxonomy 163WW0000X
- **Organization subpart:** No
- **Authorized official:** Kristi Lord, AUTHORIZED PERSON
## Practice location
- **Address:** 9190 AUGUST CIR, Saint Augustine, FL 32080-8626
- **Phone:** (904) 599-6131 · **Fax:** (904) 341-5529
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 5, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1720868128) · Data from the CMS NPPES public registry.