Providence Wound Care Specialists, LLC
NPI 1578426813 · Family Nurse Practitioner · Noblesville, IN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Providence Wound Care Specialists, LLC is a Family Nurse Practitioner organization in Noblesville, IN (NPI 1578426813).
Provider details
- NPI number
- 1578426813
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Jaekar Teah, Owner(317) 701-5831
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
Under 1 yr in 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
- 2025-12-04
- Last updated
- 2026-01-12
- Certified
- 2026-01-12
Frequently asked questions
- What is Providence Wound Care Specialists, LLC's NPI number?
- Providence Wound Care Specialists, LLC's National Provider Identifier (NPI) is 1578426813, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Providence Wound Care Specialists, LLC?
- Providence Wound Care Specialists, LLC is classified in the NPPES registry as Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Providence Wound Care Specialists, LLC located?
- Providence Wound Care Specialists, LLC's practice location on file with NPPES is 10917 Gossamer Ln, Noblesville, IN 46060-6106.
- What is Providence Wound Care Specialists, LLC's phone number?
- The practice phone number listed in the NPPES registry for Providence Wound Care Specialists, LLC is (317) 365-6977.
- Does Providence Wound Care Specialists, LLC accept Medicare?
- Providence Wound Care Specialists, 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 Providence Wound Care Specialists, LLC?
- The authorized official listed on Providence Wound Care Specialists, LLC's NPPES record is Jaekar Teah, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Providence Wound Care Specialists, LLC's NPI active?
- Yes — Providence Wound Care Specialists, LLC's NPI (1578426813) is active in the NPPES registry as of the last update on 2026-01-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.