INNOVATIVE WOUND MANAGEMENT, LLC
NPI 1851110837
Specialist in Las Vegas, NV

Active since October 07, 2024
8551 W LAKE MEAD BLVD STE 200, LAS VEGAS, NV 89128(702) 703-1668 Get Directions Write a Review

NPPES record last updated: October 21, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 8, 2025, Nov 19, 2024, Oct 8, 2024 (3 updates tracked since 2024).

About Innovative Wound Management, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INNOVATIVE WOUND MANAGEMENT, LLC (NPI 1851110837) is a healthcare organization registered as a specialist in Las Vegas, Nevada and active in the NPI registry since October 2024. The organization lists Mary Clyde Manalili, Cfo, as its authorized official.

NPPES Registry Identity

NPI1851110837
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameINNOVATIVE WOUND MANAGEMENT, LLC
Location Address8551 W LAKE MEAD BLVD STE 200Las Vegas, NV 89128-7642
Mailing Address8551 W Lake Mead Blvd Ste 200Las Vegas, NV 89128-7642 · (702) 726-9722
Organization SubpartNo
Authorized OfficialMary Clyde ManaliliCfo · (702) 703-1668
Enumeration DateOctober 7, 2024
Last NPPES UpdateOctober 21, 20253 updates tracked since enumeration
NPPES CertifiedOctober 21, 2025
✔ NPI 1851110837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedRegistered Nurse · Wound CareTaxonomy 163WW0000X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
8551 W LAKE MEAD BLVD STE 200, Las Vegas, NV 89128

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Innovative Wound Management, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Innovative Wound Management, LLC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Nurse Practitioner
NPI 1013624501
3900 W CHARLESTON BLVD STE 170
Las Vegas, NV 89102
(702) 362-2273
✔ PECOS✔ Accepts Medicare5.7 mi
Internal Medicine
NPI 1093701674
4880 WYNN RD
Las Vegas, NV 89103
(702) 871-5005
✔ PECOS✔ Accepts Medicare8.2 mi
Nurse Practitioner
NPI 1700582178
6070 S FORT APACHE RD STE 100
Las Vegas, NV 89148
(702) 803-5534
✔ PECOS✔ Accepts Medicare8.3 mi
Internal Medicine
NPI 1982966644
375 DIXMYTH AVE
Cincinnati, OH 45220
(513) 862-3306
✔ PECOS✔ Accepts Medicare1,690 mi
Nurse Practitioner
NPI 1760973861
3611 PRESCOTT LOOP
Lakeland, FL 33810
(786) 342-5144
✔ PECOS2,019 mi
Nurse Practitioner
NPI 1083087415
2194 HOOHAI ST
Pearl City, HI 96782
(808) 888-0777
✔ PECOS✔ Accepts Medicare2,755 mi

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 Innovative Wound Management, LLC's NPI number?

The NPI number for Innovative Wound Management, LLC is 1851110837. It was assigned to this organization in the NPPES registry on October 7, 2024.

Where is Innovative Wound Management, LLC located?

Innovative Wound Management, LLC is located at 8551 W Lake Mead Blvd Ste 200, Las Vegas, NV 89128. The listed phone number is (702) 703-1668.

What is Innovative Wound Management, LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Innovative Wound Management, LLC enrolled in Medicare?

Yes. Innovative Wound Management, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Innovative Wound Management, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Innovative Wound Management, 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. The largest specialties are Nurse Practitioner (4) and Internal Medicine (2). Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Innovative Wound Management, LLC accept?

Health plans from HMSA list Innovative Wound Management, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Innovative Wound Management, LLC was last updated on October 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.