Summit Advance Mobile Wound Care LLC
NPI 1316759566 · Family Nurse Practitioner · Maple Grove, MN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Summit Advance Mobile Wound Care LLC is a Family Nurse Practitioner organization in Maple Grove, MN (NPI 1316759566).
Provider details
- NPI number
- 1316759566
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Henry Momanyi, Nurse Practitioner(612) 598-8555
Specialties & taxonomies
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
- 2025-01-24
- Last updated
- 2025-01-24
- Certified
- 2025-01-24
Frequently asked questions
- What is Summit Advance Mobile Wound Care LLC's NPI number?
- Summit Advance Mobile Wound Care LLC's National Provider Identifier (NPI) is 1316759566, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Summit Advance Mobile Wound Care LLC?
- Summit Advance Mobile Wound Care LLC is classified in the NPPES registry as Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Summit Advance Mobile Wound Care LLC located?
- Summit Advance Mobile Wound Care LLC's practice location on file with NPPES is 6773 Deerwood Ln N, Maple Grove, MN 55369-5530.
- What is Summit Advance Mobile Wound Care LLC's phone number?
- The practice phone number listed in the NPPES registry for Summit Advance Mobile Wound Care LLC is (612) 598-8555.
- Does Summit Advance Mobile Wound Care LLC accept Medicare?
- Summit Advance Mobile Wound Care 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 Summit Advance Mobile Wound Care LLC?
- The authorized official listed on Summit Advance Mobile Wound Care LLC's NPPES record is Henry Momanyi, Nurse Practitioner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Summit Advance Mobile Wound Care LLC's NPI active?
- Yes — Summit Advance Mobile Wound Care LLC's NPI (1316759566) is active in the NPPES registry as of the last update on 2025-01-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.