OrganizationActive
Old Mission Wound Care Pennsylvania PLLC
NPI 1396552170 · Specialist · Traverse City, MI
Provider details
- NPI number
- 1396552170
- 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
Established profile(55/100 index)
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
1989 Kroupa Rd
Traverse City, MI 49686-9759
Phone: (231) 260-4622
Street-level locationGet directions
Mailing address
225 Matlage Way Unit 31
Sugar Land, TX 77487-0807
Registry dates
- Enumerated
- 2024-12-14
- Last updated
- 2024-12-14
- Certified
- 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.