Integrated Wound Care Management Wisconsin LLC
NPI 1154963049 · General Practice Physician · Superior, WI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Integrated Wound Care Management Wisconsin LLC is a General Practice Physician organization in Superior, WI (NPI 1154963049).
Provider details
- NPI number
- 1154963049
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Diane Lusas, Member(732) 451-4318
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
6 yrs 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
- 2019-10-11
- Last updated
- 2019-10-11
Frequently asked questions
- What is Integrated Wound Care Management Wisconsin LLC's NPI number?
- Integrated Wound Care Management Wisconsin LLC's National Provider Identifier (NPI) is 1154963049, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Integrated Wound Care Management Wisconsin LLC?
- Integrated Wound Care Management Wisconsin LLC is classified in the NPPES registry as General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Integrated Wound Care Management Wisconsin LLC located?
- Integrated Wound Care Management Wisconsin LLC's practice location on file with NPPES is 1800 New York Ave, Superior, WI 54880-2008.
- What is Integrated Wound Care Management Wisconsin LLC's phone number?
- The practice phone number listed in the NPPES registry for Integrated Wound Care Management Wisconsin LLC is (201) 870-1194.
- Does Integrated Wound Care Management Wisconsin LLC accept Medicare?
- Integrated Wound Care Management Wisconsin 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 Integrated Wound Care Management Wisconsin LLC?
- The authorized official listed on Integrated Wound Care Management Wisconsin LLC's NPPES record is Diane Lusas, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Integrated Wound Care Management Wisconsin LLC's NPI active?
- Yes — Integrated Wound Care Management Wisconsin LLC's NPI (1154963049) is active in the NPPES registry as of the last update on 2019-10-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.