Active NPI
Stephanie Mills Wynn, RN, MSN, FNP-C
- Family Nurse Practitioner
- Washington, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5005890
- Practice address
- 2005 W 15TH St
Washington, NC 27889-3591 - Phone
- (252) 833-5245
- Fax
- (252) 833-5244
- NPI assigned
- Oct 24, 2012
- Last updated
- Jun 30, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5005890 | NC | |
| Family Nurse Practitioner | 363LF0000X | 5005890 | NC | Primary |
Addresses
Primary practice location
2005 W 15TH St
Washington, NC 27889-3591
Mailing address
2005 W 15TH St
Washington, NC 27889-3591
Phone (252) 833-5245
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
101 Clinic Dr
Tarboro, NC 27886-1935
Phone (252) 823-2105
401 A N Main St
Kenansville, NC 28349-8801
Phone (910) 296-0941
401 N Main St
Kenansville, NC 28349-8801
Phone (910) 296-0941
417 N Main St
Kenansville, NC 28349-8801
Phone (910) 296-8080
501 N Main St
Robersonville, NC 27871-9567
Phone (252) 341-5811
598 W Old County Rd
Belhaven, NC 27810-1232
Phone (252) 943-0600
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.95 of 100
- Quality
- 82.44
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vidant Medical Group LLC | Current | Accepting new patients | |
| Vidant Medical Group LLC | Current | Accepting new patients | |
| Thrivewell Health and Wellness PLLC | Family | Current | Accepting new patients |
| Healthfirst Wellness Center, PLLC | Family | Current | Accepting new patients |
| Williamston Clinic Corp | Nurse Practitioner | Current | Accepting new patients |
| East Carolina Health - Heritage Inc | Current | Accepting new patients | |
| Carolina Quickcare Family Practice, PLLC | Current | Accepting new patients | |
| Williamston Hospital Corporation | Past | Accepting new patients |
Locations
2265 NC Highway 24 27 E
Biscoe, NC 27209
Phone (919) 810-0054
401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941
1473 NC 42 43 W
Pinetops, NC 27864
Phone (252) 641-8585
501 N Main St
Robersonville, NC 27871
Phone (252) 284-3501
4612 Main St
Shallotte, NC 28470
Phone (910) 444-2970
101 Clinic Dr
Tarboro, NC 27886
Phone (252) 823-2105
2005 W 15th St
Washington, NC 27889
104 Medical Dr
Williamston, NC 27892
Phone (252) 809-6300
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EHGJDD/Endpoint/EHGJDD
- sellis45056@direct.ecuhealth.com
- stephanie.wynn.1@32322.direct.athenahealth.com
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Nurse Practitioner
- Robersonville, NC
- NPI 1811724677
-
- Multi-Specialty Clinic/Center
- Greenville, NC
- NPI 1477648731
-
dba Carolina QuickCare Family Practice
- Internal Medicine Physician
- Biscoe, NC
- NPI 1881360899
-
dba Vidant Family Medicine-Pinetops a department of Vidant Edgecombe Hospi
- Rural Health Clinic/Center
- Pinetops, NC
- NPI 1821076589
-
- Family Nurse Practitioner
- Washington, NC
- NPI 1790610913
-
dba Vidant Endoscopy Center-Kinston
- Ambulatory Surgical Clinic/Center
- Kinston, NC
- NPI 1376049619
-
dba Inner Banks Family Medicine, a part of, Martin General Hospital
- Rural Health Clinic/Center
- Plymouth, NC
- NPI 1427682640
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782777600000",
"number": "1063765345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2005 W 15TH ST",
"city": "WASHINGTON",
"state": "NC",
"postal_code": "278893591",
"telephone_number": "252-833-5245",
"fax_number": "252-833-5244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2005 W 15TH ST",
"city": "WASHINGTON",
"state": "NC",
"postal_code": "278893591",
"telephone_number": "252-833-5245",
"fax_number": "252-833-5244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WYNN",
"first_name": "STEPHANIE",
"middle_name": "MILLS",
"credential": "RN, MSN, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-24",
"last_updated": "2026-06-30",
"certification_date": "2026-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5005890",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5005890",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.