Old Mission Wound Care Missouri LLC
NPI 1114734092 · Specialist · Traverse City, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Old Mission Wound Care Missouri LLC is a Specialist organization in Traverse City, MI (NPI 1114734092).
Provider details
- NPI number
- 1114734092
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Christopher Mason, Owner(231) 260-4622
Specialties & taxonomies
Other Service Providers
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
1 documented practice location
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
Registry dates
- Enumerated
- 2024-12-14
- Last updated
- 2024-12-14
- Certified
- 2024-12-14
Frequently asked questions
- What is Old Mission Wound Care Missouri LLC's NPI number?
- Old Mission Wound Care Missouri LLC's National Provider Identifier (NPI) is 1114734092, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Old Mission Wound Care Missouri LLC?
- Old Mission Wound Care Missouri LLC is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Old Mission Wound Care Missouri LLC located?
- Old Mission Wound Care Missouri LLC's practice location on file with NPPES is 1989 Kroupa Rd, Traverse City, MI 49686-9759.
- What is Old Mission Wound Care Missouri LLC's phone number?
- The practice phone number listed in the NPPES registry for Old Mission Wound Care Missouri LLC is (231) 260-4622.
- Does Old Mission Wound Care Missouri LLC accept Medicare?
- Old Mission Wound Care Missouri LLC 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 Old Mission Wound Care Missouri LLC?
- The authorized official listed on Old Mission Wound Care Missouri LLC's NPPES record is Christopher Mason, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Old Mission Wound Care Missouri LLC's NPI active?
- Yes — Old Mission Wound Care Missouri LLC's NPI (1114734092) is active in the NPPES registry as of the last update on 2024-12-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.