POMAIKAI WOUND CARE LLC
NPI 1861388431
Nurse Practitioner - Adult Health in Wahiawa, HI
About Pomaikai Wound Care Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
POMAIKAI WOUND CARE LLC (NPI 1861388431) is a healthcare organization registered as an adult health in Wahiawa, Hawaii and active in the NPI registry since June 2025. The organization lists John Collis Visit Lacy, Owner, 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)
Pomaikai Wound Care Llc 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 Pomaikai Wound Care LLC, which bills Medicare for the services they deliver. 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 Pomaikai Wound Care LLC's NPI number?
The NPI number for Pomaikai Wound Care LLC is 1861388431. It was assigned to this organization in the NPPES registry on June 17, 2025.
Where is Pomaikai Wound Care LLC located?
Pomaikai Wound Care LLC is located at 916 Kilani Ave, Wahiawa, HI 96786. The listed phone number is (808) 621-5042.
What is Pomaikai Wound Care LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Pomaikai Wound Care LLC enrolled in Medicare?
Yes. Pomaikai Wound Care LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Pomaikai Wound Care LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Pomaikai Wound Care 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Pomaikai Wound Care LLC was last updated on June 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Pomaikai Wound Care Llc · NPI 1861388431
Adult Health organization in Wahiawa, Hawaii. Organization record, active in the CMS NPPES registry since June 17, 2025.
## Identity
- **NPI:** 1861388431 (Entity type: Organization)
- **Enumerated:** June 17, 2025
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **Organization subpart:** No
- **Authorized official:** John Collis Lacy, OWNER
## Practice location
- **Address:** 916 KILANI AVE, Wahiawa, HI 96786-2102
- **Phone:** (808) 621-5042
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 17, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1861388431) · Data from the CMS NPPES public registry.