Personic Wound Care of NV – Wound Care Registered Nurse, NPI 1982379590
Wound Care Registered Nurse
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Personic Wound Care of NV
401 Ryland St Ste 200A
Reno, NV 895021643
Phone: (251) 901-3011
Fax: (888) 557-9724
Type: Location
1 HARBISON WAY STE 222
COLUMBIA, SC 292123408
Phone: (571) 833-0330
Fax: (215) 933-6837
Type: Mailing
900 MAPLE AVE E
VIENNA, VA 221803650
Phone: (571) 833-0330
Fax: (215) 933-6837
Type: Location
11340 LAKEFIELD DR STE 200
JOHNS CREEK, GA 300972456
Phone: (251) 901-3011
Type: Mailing
8000 TOWERS CRESCENT DR STE 1392
VIENNA, VA 221826207
Phone: (251) 901-3011
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-01-31
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Revalidation scheduled
Earliest CMS due date is 2026-09-30 (108 days away).
Enrollment records
2
Earliest due date
2026-09-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20210927002867 | O | Clinic/Group Practice | DC | 2026-09-30 |
| O20230131002634 | O | Clinic/Group Practice | NV | TBD |
What to do next
- Monitor the published due date as it approaches.
- Plan to revalidate in PECOS within the window CMS allows before the due date.
- Verify the date on the CMS Revalidation Lookup Tool before submitting.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 89502)
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