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ELITE MOBILE WOUND CARE LLC
NPI 1902634256
Podiatrist in Sandy, OR

Active since July 25, 2024
37569 HIGHWAY 26, SANDY, OR 97055(503) 668-5210 Get Directions Write a Review

NPPES record last updated: August 6, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 6, 2024, Jul 25, 2024 (2 updates tracked since 2024).

About Elite Mobile Wound Care Llc NPPES

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

ELITE MOBILE WOUND CARE LLC (NPI 1902634256) is a healthcare organization registered as a podiatrist in Sandy, Oregon and active in the NPI registry since July 2024. The organization lists Trevor Haynes, Owner, as its authorized official.

NPPES Registry Identity

NPI1902634256
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameELITE MOBILE WOUND CARE LLC
Location Address37569 HIGHWAY 26Sandy, OR 97055-9301
Mailing Address37569 Highway 26Sandy, OR 97055-9301
Phone(503) 668-5210
Organization SubpartNo
Authorized OfficialTrevor HaynesOwner · (503) 668-5210
Enumeration DateJuly 25, 2024
Last NPPES UpdateAugust 6, 20242 updates tracked since enumeration
NPPES CertifiedAugust 6, 2024
✔ NPI 1902634256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
37569 HIGHWAY 26, Sandy, OR 97055
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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

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Oregon.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)

Elite Mobile Wound Care Llc 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 Elite Mobile Wound Care LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Trevor Haynes, D.P.M.
Podiatry
NPI 1144576224
37569 HIGHWAY 26
Sandy, OR 97055
(503) 668-5210
✔ PECOS✔ Accepts MedicareSame address
Daniel Mcmanus
Podiatry
NPI 1225618333
332 NW 1ST AVE
Canby, OR 97013
(503) 668-5210
✔ PECOS✔ Accepts Medicare23 mi
Heather Sullivan, FNP
Nurse Practitioner
NPI 1205383890
3265 HILLCREST PARK DR
Medford, OR 97504
(541) 275-6655
✔ PECOS✔ Accepts Medicare214 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 Elite Mobile Wound Care LLC's NPI number?

The NPI number for Elite Mobile Wound Care LLC is 1902634256. It was assigned to this organization in the NPPES registry on July 25, 2024.

Where is Elite Mobile Wound Care LLC located?

Elite Mobile Wound Care LLC is located at 37569 Highway 26, Sandy, OR 97055. The listed phone number is (503) 668-5210.

What is Elite Mobile Wound Care LLC's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Elite Mobile Wound Care LLC enrolled in Medicare?

Yes. Elite Mobile Wound Care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Elite Mobile Wound Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Elite Mobile Wound Care LLC, in Nurse Practitioner and Podiatry. 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.

What insurance does Elite Mobile Wound Care LLC accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Elite Mobile Wound Care 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 Elite Mobile Wound Care LLC was last updated on August 6, 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.