ACTIVE LIFE WOUND CLINIC A PROFESSIONAL NURSING CORPORATION
NPI 1801253323
Nurse Practitioner in Sacramento, CA
About Active Life Wound Clinic A Professional Nursing Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ACTIVE LIFE WOUND CLINIC A PROFESSIONAL NURSING CORPORATION (NPI 1801253323) is a healthcare organization registered as a nurse practitioner in Sacramento, California and active in the NPI registry since January 2016. The organization maintains 2 additional practice locations and lists Jeff Souza, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Active Life Wound Clinic A Professional Nursing Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
13Medicare enrollment records show 13 clinicians reassign Medicare billing to Active Life Wound Clinic A Professional Nursing Corporation, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 6 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (13)
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 Active Life Wound Clinic A Professional Nursing Corporation's NPI number?
The NPI number for Active Life Wound Clinic A Professional Nursing Corporation is 1801253323. It was assigned to this organization in the NPPES registry on January 28, 2016.
Where is Active Life Wound Clinic A Professional Nursing Corporation located?
Active Life Wound Clinic A Professional Nursing Corporation is located at 2 Scripps Dr Ste 202, Sacramento, CA 95825. The listed phone number is (916) 436-3015.
What is Active Life Wound Clinic A Professional Nursing Corporation's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Active Life Wound Clinic A Professional Nursing Corporation enrolled in Medicare?
Yes. Active Life Wound Clinic A Professional Nursing Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Active Life Wound Clinic A Professional Nursing Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 4 Medicare specialties reassign their Medicare billing to Active Life Wound Clinic A Professional Nursing Corporation. 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 (10), Dermatology (1) and Internal Medicine (1). Of these, 1 practice at this address and 6 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 Active Life Wound Clinic A Professional Nursing Corporation was last updated on April 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Active Life Wound Clinic A Professional Nursing Corporation · NPI 1801253323
Nurse Practitioner organization in Sacramento, California. Organization record, active in the CMS NPPES registry since January 28, 2016.
## Identity
- **NPI:** 1801253323 (Entity type: Organization)
- **Enumerated:** January 28, 2016
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **Organization subpart:** No
- **Authorized official:** Jeff Souza, PRESIDENT
## Practice location
- **Address:** 2 SCRIPPS DR STE 202, Sacramento, CA 95825-6207
- **Phone:** (916) 436-3015
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 13 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (10), Dermatology (1), Internal Medicine (1); 1 practice at this address and 6 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 15, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1801253323) · Data from the CMS NPPES public registry.