SPECIALIZED WOUND MANAGEMENT
NPI 1962430157
Nurse Practitioner - Adult Health in Chesterfield, MO

Active since June 28, 2006
14805 N OUTER 40 RD, SUITE 320, CHESTERFIELD, MO 63017(888) 811-4677(800) 605-8906 Get Directions Write a Review

NPPES record last updated: August 12, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Specialized Wound Management NPPES

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

SPECIALIZED WOUND MANAGEMENT (NPI 1962430157) is a healthcare organization registered as an adult health in Chesterfield, Missouri and active in the NPI registry since June 2006. The organization lists Gail Lee Hartmann, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1962430157
Entity TypeOrganization
Primary Taxonomy363LA2200X
Legal Business NameSPECIALIZED WOUND MANAGEMENT LLC
Location Address14805 N OUTER 40 RD, SUITE 320Chesterfield, MO 63017-6060
Mailing Address14805 N Outer 40 Rd, Suite 300Chesterfield, MO 63017-6060 · (636) 733-7000 · Fax (636) 733-7010
Fax(800) 605-8906
Organization SubpartNo
Authorized OfficialGail Lee HartmannTreasurer · (636) 733-7000
Enumeration DateJune 28, 2006
Last NPPES UpdateAugust 12, 2014
✔ NPI 1962430157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
14805 N OUTER 40 RD, Chesterfield, MO 63017

Other Names 1

Doing Business AsSpecialized Wound Management

Other Identifiers 9

Medicare PINMA1087MO
Medicare PIN205298IL
Medicare PIN204546IL
Medicare PIN213122IL
Medicare PINMA1084MO
Medicare PIN000013853MO
Medicare PIN213123IL
Medicare PINS390000MO
Medicare PINS390000AKS

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)

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

Clinicians Billing Medicare Through This Organization

27

Medicare enrollment records show 27 clinicians reassign Medicare billing to Specialized Wound Management, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 10 within 10 miles. Listed here are the 20 practicing nearest to this location.

Nearest to this location (20)

See all 27
Nurse Practitioner
NPI 1154650562
14805 N OUTER 40 RD SUITE 320
Chesterfield, MO 63017
(888) 811-4677
✔ PECOSSame address
Nurse Practitioner
NPI 1487924411
14805 N OUTER 40 RD SUITE 320
Chesterfield, MO 63017
(888) 811-4677
✔ PECOSSame address
Nurse Practitioner
NPI 1225286222
14805 N OUTER 40 RD SUITE 320
Chesterfield, MO 63017
(888) 811-4677
✔ PECOSSame address
Nurse Practitioner
NPI 1124456736
14805 NORTH OUTER 40 RD STE 320
Chesterfield, MO 63017
(636) 536-0183
✔ PECOSSame address
Nurse Practitioner
NPI 1649225103
14855 N OUTER 40
Chesterfield, MO 63017
(636) 532-0150
✔ PECOS0.1 mi
Nurse Practitioner
NPI 1346083813
14805 N OUTER 40 RD STE 320
Chesterfield, MO 63017
(636) 536-0183
✔ PECOS0.4 mi
Nurse Practitioner
NPI 1942000799
15 REMINGTON PLACE CT
Ballwin, MO 63021
(941) 222-0529
✔ PECOS✔ Accepts Medicare4.9 mi
Nurse Practitioner
NPI 1669158333
1010 OLD DES PERES RD
Des Peres, MO 63131
(314) 729-0077
✔ PECOS✔ Accepts Medicare6.1 mi
Nurse Practitioner
NPI 1164049698
23 TERRE VERTE CT
Saint Charles, MO 63304
(716) 228-0524
✔ PECOS✔ Accepts Medicare8.2 mi
Nurse Practitioner
NPI 1053782276
13655 RIVERPORT DR
Maryland Heights, MO 63043
(314) 972-7000
✔ PECOS✔ Accepts Medicare8.4 mi
Nurse Practitioner
NPI 1316313059
808 N 4TH ST
Saint Charles, MO 63301
(323) 496-1478
✔ PECOS10 mi
Nurse Practitioner
NPI 1356598890
5000 MANCHESTER AVE
Saint Louis, MO 63110
(314) 747-5800
✔ PECOS15 mi
Nurse Practitioner
NPI 1275708521
ONE BARNES-JEWISH HOSPITAL PLAZA
St. Louis, MO 63110
(314) 362-5000
✔ PECOS✔ Accepts Medicare15 mi
Nurse Practitioner
NPI 1821537820
1 CHILDRENS PL DIV PED EMERGENCY MED
Saint Louis, MO 63110
(314) 454-2341
✔ PECOS15 mi
Nurse Practitioner
NPI 1174024350
4132 90TH AVE
Florissant, MO 63034
(314) 497-6638
✔ PECOS18 mi
Nurse Practitioner
NPI 1285113217
107 N MAIN ST STE 2A
Columbia, IL 62236
(618) 693-9313
✔ PECOS✔ Accepts Medicare24 mi
Nurse Practitioner
NPI 1588118855
1015 LANGDON ST
Alton, IL 62002
(618) 521-2530
✔ PECOS26 mi
Nurse Practitioner
NPI 1972509339
40 N 64TH ST
Belleville, IL 62223
(618) 397-8400
✔ PECOS28 mi
Nurse Practitioner
NPI 1013397967
2133 VADALABENE DR SUITE 5B
Maryville, IL 62062
(618) 288-7605
✔ PECOS✔ Accepts Medicare33 mi
Nurse Practitioner
NPI 1851902704
1245 S MILL ST
Nashville, IL 62263
(618) 327-2273
✔ PECOS✔ Accepts Medicare67 mi
See all 27 clinicians

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 Specialized Wound Management LLC's NPI number?

The NPI number for Specialized Wound Management LLC is 1962430157. It was assigned to this organization in the NPPES registry on June 28, 2006. The provider is doing business as Specialized Wound Management.

Where is Specialized Wound Management LLC located?

Specialized Wound Management LLC is located at 14805 N Outer 40 Rd Suite 320, Chesterfield, MO 63017. The listed phone number is (888) 811-4677.

What is Specialized Wound Management LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Specialized Wound Management LLC enrolled in Medicare?

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

How many clinicians bill Medicare through Specialized Wound Management LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 27 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Specialized 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. Of these, 4 practice at this address and 10 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Specialized Wound Management LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 2 other insurers list Specialized 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 Specialized Wound Management LLC was last updated on August 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.