NPI age
1 years
Enumerated 2024-06-25
● Active Type 2 · Organization
Restoration Woundcare Medical Group, P.A.
Restoration Woundcare Medical Group, P.A. is 1 of 75 general practice organizations in Idaho.
Primary specialty
General Practice
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Hull
Chief Administrative Officer
Last NPPES update
2025-03-03
Source: monthly bulk 2026-05
How this organization compares
Across 75 active general practice providers in Idaho.
NPI age
1 years
↓ 12 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2024 → 2026
2024-06Enumerated in NPPES
2024
2026
Where they practice
Primary practice location
2139 N Main St
Coeur D Alene, ID 838145768
Mailing address
2139 N Main St
Coeur D Alene, ID 838145768
Authorized official
Jana Hull
Chief Administrative Officer
📞 2089301000
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Tenisha Greunke, APRN, FNP-C Nurse Practitioner NPI 1538821657
Specialties
-
General Practice PrimaryA physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.