NPI age
1 years
Enumerated 2024-11-12
● Active Type 2 · Organization
Professional Wound Specialists Pllc
Professional Wound Specialists Pllc is 1 of 260 surgery organizations in Idaho.
Primary specialty
Surgery
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Nguyen
Office Manager
Last NPPES update
2026-02-19
Source: monthly bulk 2026-05
How this organization compares
Across 260 active surgery providers in Idaho.
NPI age
1 years
↓ 17 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2024 → 2026
2024-11Enumerated in NPPES
2024
2026
Where they practice
Primary practice location
950 W Bannock St Ste 1100
Boise, ID 837026140
Mailing address
950 W Bannock St Ste 1100, Office 1141
Boise, ID 837026140
Authorized official
Nikki Nguyen
Office Manager
📞 8884348880
Individual providers at this organization
3 individual providers on file at this primary practice address.
- Amanda Jenson, LPC Counselor NPI 1710301056
- Alex Wills, M.D. Psychiatry & Neurology NPI 1649597055
- Breanna Zold, MAC Counselor NPI 1225877384
Specialties
-
Surgery PrimaryA general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and...
Practice context
Multi-provider organization. 3 individual providers 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 →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.