Impact Health Wound Care PLLC
NPI 1093502742 · Family Medicine Physician · Augusta, ME
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Impact Health Wound Care PLLC is a Family Medicine Physician organization in Augusta, ME (NPI 1093502742).
Provider details
- NPI number
- 1093502742
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jose Ventura, Owner(404) 319-9485
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 307 Plaza DrDover, NH 03820-2455Phone: (404) 319-9485
Registry dates
- Enumerated
- 2025-04-24
- Last updated
- 2025-07-02
- Certified
- 2025-07-02
Frequently asked questions
- What is Impact Health Wound Care PLLC's NPI number?
- Impact Health Wound Care PLLC's National Provider Identifier (NPI) is 1093502742, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Impact Health Wound Care PLLC?
- Impact Health Wound Care PLLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Impact Health Wound Care PLLC located?
- Impact Health Wound Care PLLC's practice location on file with NPPES is 323 State St Ste 5, Augusta, ME 04330-7149.
- What is Impact Health Wound Care PLLC's phone number?
- The practice phone number listed in the NPPES registry for Impact Health Wound Care PLLC is (404) 319-9485.
- Does Impact Health Wound Care PLLC accept Medicare?
- Impact Health Wound Care PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Impact Health Wound Care PLLC?
- The authorized official listed on Impact Health Wound Care PLLC's NPPES record is Jose Ventura, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Impact Health Wound Care PLLC's NPI active?
- Yes — Impact Health Wound Care PLLC's NPI (1093502742) is active in the NPPES registry as of the last update on 2025-07-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.