PROFESSIONAL WOUND SPECIALISTS PLLC
NPI 1861216228
Surgery in Boise, ID

Active since November 12, 2024
950 W BANNOCK ST STE 1100, BOISE, ID 83702(888) 434-8880(855) 434-8880 Get Directions Write a Review

NPPES record last updated: February 19, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Professional Wound Specialists Pllc NPPES

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

PROFESSIONAL WOUND SPECIALISTS PLLC (NPI 1861216228) is a healthcare organization registered as a surgery in Boise, Idaho and active in the NPI registry since November 2024. The organization lists Nikki Nguyen, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1861216228
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NamePROFESSIONAL WOUND SPECIALISTS PLLC
Location Address950 W BANNOCK ST STE 1100Boise, ID 83702-6140
Mailing Address950 W Bannock St Ste 1100, Office 1141Boise, ID 83702-6140 · (888) 434-8880 · Fax (855) 434-8880
Fax(855) 434-8880
Organization SubpartNo
Authorized OfficialNikki NguyenOffice Manager · (888) 434-8880
Enumeration DateNovember 12, 2024
Last NPPES UpdateFebruary 19, 2026
NPPES CertifiedFebruary 19, 2026
✔ NPI 1861216228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
950 W BANNOCK ST STE 1100, Boise, ID 83702

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Professional Wound Specialists Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Professional Wound Specialists PLLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1205307097
496 SHOUP AVE W STE B
Twin Falls, ID 83301
(208) 739-9961
✔ PECOS✔ Accepts Medicare114 mi
Nurse Practitioner
NPI 1740159995
1845 W 4400 S STE A1
Roy, UT 84067
(385) 837-7010
✔ PECOS✔ Accepts Medicare270 mi
General Surgery
NPI 1578500336
3191 W TEMPLE AVE STE 110
Pomona, CA 91768
(888) 434-8880
✔ PECOS✔ Accepts Medicare666 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 Professional Wound Specialists PLLC's NPI number?

The NPI number for Professional Wound Specialists PLLC is 1861216228. It was assigned to this organization in the NPPES registry on November 12, 2024.

Where is Professional Wound Specialists PLLC located?

Professional Wound Specialists PLLC is located at 950 W Bannock St Ste 1100, Boise, ID 83702. The listed phone number is (888) 434-8880.

What is Professional Wound Specialists PLLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Professional Wound Specialists PLLC enrolled in Medicare?

Yes. Professional Wound Specialists PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Professional Wound Specialists PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Professional Wound Specialists PLLC, in General Surgery and Nurse Practitioner. 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 Professional Wound Specialists PLLC was last updated on February 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.