Proactive Wound Care Id INC in Fish Haven, ID
This organization bills under NPI 1134928419, an organization record issued on Mar 10, 2025 with the primary taxonomy Podiatrist. Each clinician who works there has their own NPI and license.
Organization recordNPPES, Aug 2026
1134928419
- Legal name
- Proactive Wound Care Id INC
- Entity
- Type 2 · organization
- Primary taxonomy
- Podiatrist 213E00000X
- Practice location
- 2270 HIGHWAY 89, Fish Haven, ID 83287
- Phone
- 801-815-6862
- Mailing address
- Centerville, UT
- Enumerated
- Mar 10, 2025
- Record updated
- Mar 10, 2025
- Authorized official
- Office Manager (title as filed)
2 clinicians CMS lists with Proactive Wound Care Id in Fish Haven
- Maryanne Hunt, APRN FNP-BCFamily Nurse Practitioner1497534002
- Nathan Payne, DPMFoot & Ankle Surgery Podiatrist1760845473
Source: CMS Doctors and Clinicians group affiliations, matched by practice name and city.
Checking an organization
- Confirm the business with the Idaho secretary of state.
- Check the HHS-OIG exclusion list for the organization.
- Verify each clinician on their own record and the state license search.
All taxonomies on this record
- 213E00000X Podiatrist
- 363L00000X Nurse Practitioner
Common questions
Why is the mailing address in Utah?
The mailing address in the record (Centerville, UT) is where the organization receives mail. Care is given at the practice location in Fish Haven.
Is an organization NPI a license?
No. An NPI identifies who bills. Facilities and the clinicians who work there are licensed separately by the state.
Source: CMS National Plan and Provider Enumeration System (NPPES), monthly file of Aug 9, 2026 (NPPES files on CMS.gov). An NPI identifies who bills; it is not a license.