Platinum Wound Care Specialist
NPI 1174208763 · Family Medicine Physician · Las Vegas, NV
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Platinum Wound Care Specialist is a Family Medicine Physician organization in Las Vegas, NV (NPI 1174208763).
Provider details
- NPI number
- 1174208763
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Craig Jorgenson, Owner(702) 659-5604
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
3 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
- 2023-06-20
- Last updated
- 2025-08-06
- Certified
- 2025-08-06
Frequently asked questions
- What is Platinum Wound Care Specialist's NPI number?
- Platinum Wound Care Specialist's National Provider Identifier (NPI) is 1174208763, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Platinum Wound Care Specialist?
- Platinum Wound Care Specialist is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Platinum Wound Care Specialist located?
- Platinum Wound Care Specialist's practice location on file with NPPES is 3830 E Flamingo Rd Ste 201, Las Vegas, NV 89121-6234.
- What is Platinum Wound Care Specialist's phone number?
- The practice phone number listed in the NPPES registry for Platinum Wound Care Specialist is (702) 659-5604.
- Does Platinum Wound Care Specialist accept Medicare?
- Platinum Wound Care Specialist 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 Platinum Wound Care Specialist?
- The authorized official listed on Platinum Wound Care Specialist's NPPES record is Craig Jorgenson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Platinum Wound Care Specialist's NPI active?
- Yes — Platinum Wound Care Specialist's NPI (1174208763) is active in the NPPES registry as of the last update on 2025-08-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.