Advanced Wound Care of Arizona PLLC
NPI 1720839665 · Nurse Practitioner · Prescott, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Advanced Wound Care of Arizona PLLC is a Nurse Practitioner organization in Prescott, AZ (NPI 1720839665).
Provider details
- NPI number
- 1720839665
- Entity type
- Organization
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Ron Olsen, President/Ceo(928) 530-3230
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Foot & Ankle Surgery Podiatrist213ES0103X
Podiatric Medicine & Surgery Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
- 2024-03-28
- Last updated
- 2026-04-30
- Certified
- 2026-04-30
Frequently asked questions
- What is Advanced Wound Care of Arizona PLLC's NPI number?
- Advanced Wound Care of Arizona PLLC's National Provider Identifier (NPI) is 1720839665, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Advanced Wound Care of Arizona PLLC?
- Advanced Wound Care of Arizona PLLC is classified in the NPPES registry as Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Advanced Wound Care of Arizona PLLC located?
- Advanced Wound Care of Arizona PLLC's practice location on file with NPPES is 3667 Reflection Dr, Prescott, AZ 86305-7188.
- What is Advanced Wound Care of Arizona PLLC's phone number?
- The practice phone number listed in the NPPES registry for Advanced Wound Care of Arizona PLLC is (928) 530-3230.
- Does Advanced Wound Care of Arizona PLLC accept Medicare?
- Advanced Wound Care of Arizona PLLC 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 Advanced Wound Care of Arizona PLLC?
- The authorized official listed on Advanced Wound Care of Arizona PLLC's NPPES record is Ron Olsen, President/Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Advanced Wound Care of Arizona PLLC's NPI active?
- Yes — Advanced Wound Care of Arizona PLLC's NPI (1720839665) is active in the NPPES registry as of the last update on 2026-04-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.