ORIGIN ADVANCED HEALING PLLC
NPI 1750272522
Registered Nurse - Wound Care in Apollo Beach, FL
About Origin Advanced Healing Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ORIGIN ADVANCED HEALING PLLC (NPI 1750272522) is a healthcare organization registered as a wound care in Apollo Beach, Florida and active in the NPI registry since July 2025. The organization lists Rene Caraco, Administrator, 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)
Origin Advanced Healing Pllc 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 Origin Advanced Healing PLLC, 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 Origin Advanced Healing PLLC's NPI number?
The NPI number for Origin Advanced Healing PLLC is 1750272522. It was assigned to this organization in the NPPES registry on July 10, 2025.
Where is Origin Advanced Healing PLLC located?
Origin Advanced Healing PLLC is located at 441 Apollo Beach Blvd, Apollo Beach, FL 33572. The listed phone number is (813) 454-5587.
What is Origin Advanced Healing PLLC's specialty?
The primary specialty registered for this NPI is Registered Nurse, specializing in Wound Care, with taxonomy code 163WW0000X.
Is Origin Advanced Healing PLLC enrolled in Medicare?
Yes. Origin Advanced Healing PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Origin Advanced Healing PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Origin Advanced Healing 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Origin Advanced Healing PLLC was last updated on July 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Origin Advanced Healing Pllc · NPI 1750272522
Wound Care organization in Apollo Beach, Florida. Organization record, active in the CMS NPPES registry since July 10, 2025.
## Identity
- **NPI:** 1750272522 (Entity type: Organization)
- **Enumerated:** July 10, 2025
- **Primary specialty:** Registered Nurse - Wound Care · taxonomy 163WW0000X
- **Organization subpart:** No
- **Authorized official:** Rene Caraco, ADMINISTRATOR
## Practice location
- **Address:** 441 APOLLO BEACH BLVD, Apollo Beach, FL 33572-2281
- **Phone:** (813) 454-5587
## 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:** July 10, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1750272522) · Data from the CMS NPPES public registry.