AMENIOHEAL WOUND CARE INC.
NPI 1801645692
Specialist in Upland, CA
About Amenioheal Wound Care Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMENIOHEAL WOUND CARE INC. (NPI 1801645692) is a healthcare organization registered as a specialist in Upland, California and active in the NPI registry since May 2024. The organization lists Tyler Stout, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
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)
Amenioheal Wound Care Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Amenioheal Wound Care Inc., which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
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 Amenioheal Wound Care Inc.'s NPI number?
The NPI number for Amenioheal Wound Care Inc. is 1801645692. It was assigned to this organization in the NPPES registry on May 15, 2024.
Where is Amenioheal Wound Care Inc. located?
Amenioheal Wound Care Inc. is located at 1060 E Foothill Blvd Ste 201, Upland, CA 91786. The listed phone number is (909) 561-5577.
What is Amenioheal Wound Care Inc.'s specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Amenioheal Wound Care Inc. enrolled in Medicare?
Yes. Amenioheal Wound Care Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Amenioheal Wound Care Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Amenioheal Wound Care Inc., in Family Practice and Internal Medicine. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Amenioheal Wound Care Inc. was last updated on May 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Amenioheal Wound Care Inc. · NPI 1801645692
Specialist organization in Upland, California. Organization record, active in the CMS NPPES registry since May 15, 2024.
## Identity
- **NPI:** 1801645692 (Entity type: Organization)
- **Enumerated:** May 15, 2024
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Tyler Stout, MANAGER
## Practice location
- **Address:** 1060 E FOOTHILL BLVD STE 201, Upland, CA 91786-4070
- **Phone:** (909) 561-5577
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Internal Medicine (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 24, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1801645692) · Data from the CMS NPPES public registry.