Proactive Wound Care Id Inc.
NPI 1134928419 · Podiatrist · Fish Haven, ID
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Proactive Wound Care Id Inc. is a Podiatrist organization in Fish Haven, ID (NPI 1134928419).
Provider details
- NPI number
- 1134928419
- Entity type
- Organization
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Hayley Williams, Office Manager(801) 815-6862
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing 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
- 2025-03-10
- Last updated
- 2025-03-10
- Certified
- 2025-03-10
Frequently asked questions
- What is Proactive Wound Care Id Inc.'s NPI number?
- Proactive Wound Care Id Inc.'s National Provider Identifier (NPI) is 1134928419, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Proactive Wound Care Id Inc.?
- Proactive Wound Care Id Inc. is classified in the NPPES registry as Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Proactive Wound Care Id Inc. located?
- Proactive Wound Care Id Inc.'s practice location on file with NPPES is 2270 Highway 89, Fish Haven, ID 83287-5139.
- What is Proactive Wound Care Id Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Proactive Wound Care Id Inc. is (801) 815-6862.
- Does Proactive Wound Care Id Inc. accept Medicare?
- Proactive Wound Care Id Inc. 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 Proactive Wound Care Id Inc.?
- The authorized official listed on Proactive Wound Care Id Inc.'s NPPES record is Hayley Williams, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Proactive Wound Care Id Inc.'s NPI active?
- Yes — Proactive Wound Care Id Inc.'s NPI (1134928419) is active in the NPPES registry as of the last update on 2025-03-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.