SONORAN WOUND LLC
NPI 1861959637
Nurse Practitioner - Family in Cave Creek, AZ

Active since February 27, 2019
6727 E DOVE VALLEY RD, CAVE CREEK, AZ 85331(480) 818-8773 Get Directions Write a Review

NPPES record last updated: February 27, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Sonoran Wound Llc NPPES

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

SONORAN WOUND LLC (NPI 1861959637) is a healthcare organization registered as a family in Cave Creek, Arizona and active in the NPI registry since February 2019. The organization lists Nathan William Rousu, Famiily Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1861959637
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameSONORAN WOUND LLC
Location Address6727 E DOVE VALLEY RDCave Creek, AZ 85331-5305
Mailing Address6727 E Dove Valley RdCave Creek, AZ 85331-5305
Organization SubpartNo
Authorized OfficialNathan William RousuFamiily Nurse Practitioner · (480) 818-8773
Enumeration DateFebruary 27, 2019
✔ NPI 1861959637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
6727 E DOVE VALLEY RD, Cave Creek, AZ 85331

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Sonoran Wound LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1386894517
7400 E OSBORN RD
Scottsdale, AZ 85251
(480) 882-4000
✔ PECOS✔ Accepts Medicare20 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 Sonoran Wound LLC's NPI number?

The NPI number for Sonoran Wound LLC is 1861959637. It was assigned to this organization in the NPPES registry on February 27, 2019.

Where is Sonoran Wound LLC located?

Sonoran Wound LLC is located at 6727 E Dove Valley Rd, Cave Creek, AZ 85331. The listed phone number is (480) 818-8773.

What is Sonoran Wound LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Sonoran Wound LLC enrolled in Medicare?

Yes. Sonoran Wound LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sonoran Wound LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Sonoran Wound 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 Sonoran Wound LLC was last updated on February 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.