Brianna Wynne, MD
Individual provider Active NPI Geriatric Medicine (Family Medicine) Physician · Winter Park, FL
NPI 1124559455 · NPPES record last updated Sep 1, 2023
Key facts
- NPI
- 1124559455
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Geriatric Medicine (Family Medicine) Physician 207QG0300X
- License
- ME147648 (FL)
- Practice address
- 133 Benmore Dr Ste 200
Winter Park, FL 32792-4111 - Phone
- (407) 599-6060
- Fax
- (407) 646-7747
- NPI assigned
- Mar 27, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 16
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Geriatric Medicine
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Ability Health Services, Inc
Ability Health Services and Rehabilitation LP
Florida Hospital Medical Group Inc
Practice addresses (Care Compare)
1200 Lexington Green LN
Sanford, FL 32771-1013
133 Benmore Dr
Suite 200
Winter Park, FL 32792-4111
Phone (407) 599-7070
2600 Westhall LN
Maitland, FL 32751-7102
Phone (407) 200-2700
Hospital & facility affiliations
- Adventhealth Home Health
- Adventhealth Home Health
- Adventhealth Orlando
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210610000269 | FL | Practitioner - Geriatric Medicine |
1658610977 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Hospital Medical Group Inc | Current |
Accepting new patients | |
| Florida Clinical Practice Association Inc | Family Medicine | Current |
Accepting new patients |
| Florida Hospital Medical Group Inc | Family Medicine | Current |
Accepting new patients |
| Florida Clinical Practice Association Inc | Current |
Accepting new patients |
Locations
900 Hope Way
Forest City, FL 32714
Phone (407) 357-1255
2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990
1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077
2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700
7975 Lake Underhill Rd
Ste 200
Orlando, FL 32822
Phone (407) 303-5990
133 Benmore Dr
Ste 200
Winter Park, FL 32792
Phone (407) 599-6060
Interoperability endpoints
- bwynne1501240@adventhealth.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME147648 | FL | |
| Student in an Organized Health Care Education/Training Program | 390200000X | WI | ||
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | ME147648 | FL | Yes |
Addresses
Primary practice location
133 Benmore Dr Ste 200
Winter Park, FL 32792-4111
Mailing address
133 Benmore Dr Ste 200
Winter Park, FL 32792-4111
Phone (407) 599-6060
Other practice location 1
W180N8000 Town Hall Rd
Menomonee Falls, WI 53051-4002
Phone (262) 532-3265
Other practice location 2
1600 SW Archer Rd
Gainesville, FL 32610-4002
Phone (352) 294-5800
Other providers in Winter Park, FL
- Jiann-Jang Wu
- Ying Wu
- Daniel Wubneh
- Mark Edward Wuchner
- Danyetta Wyatt
- Xubex
- Xubex Pharmaceutical Services
- George Kirolos Yacoub
- Harjasleen Bhullar Yadav
- Ramakanth Reddy Yakkanti
All providers in Winter Park, FL · Geriatric Medicine (Family Medicine) Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 1, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.