Individual provider Active NPI

Audrea H Wynn II, M.D.

  • Orthopaedic Surgery Physician
  • Winchester, VA
National Provider Identifier
1164409504
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
0101043925 Issued in VA
Practice address
1460 University Dr
Winchester, VA 22601-5100
Phone
(540) 665-5430
Fax
(540) 665-5576
NPI assigned
Dec 28, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101043925 VA
Orthopaedic Surgery Physician 207X00000X 0101043925 VA Primary

Addresses

Primary practice location

1460 University Dr
Winchester, VA 22601-5100

Mailing address

1460 University Dr
Winchester, VA 22601-5100
Phone (540) 665-5430

Other identifiers 1

IdentifierTypeStateIssuer
010090440MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040823001510 VA Practitioner - Orthopedic Surgery 1850365008 Reassigns benefits to 6 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Physician Enterprise, Inc. CurrentSince May 1, 2009 Accepting new patients
Shenandoah Memorial Hospital, Inc. CurrentSince May 15, 2016 Accepting new patients
Winchester Medical Center CurrentSince Apr 13, 2020 Accepting new patients
Page Memorial Hospital, Inc. Family Medicine CurrentSince Feb 2, 2017 Accepting new patients
Warren Memorial Hospital, Inc. Current Accepting new patients
Winchester Medical Center Current Accepting new patients
Shenandoah Memorial Hospital, Inc. CurrentSince Jun 1, 2012 Accepting new patients
Valley Physician Enterprise, Inc Family Medicine CurrentSince May 1, 2009 Accepting new patients
Warren Memorial Hospital, Inc. Orthopaedic Surgery CurrentSince Jun 29, 2021 Accepting new patients
Winchester Medical Center CurrentSince Apr 13, 2020 Accepting new patients
Page Memorial Hospital, Inc. Current Accepting new patients
Warren Memorial Hospital, Inc. CurrentSince Jun 29, 2021 Accepting new patients
Winchester Medical Center Current Accepting new patients
Page Memorial Hospital Inc. CurrentSince Feb 2, 2017 Accepting new patients
Shenandoah Memorial Hospital, Inc. Orthopaedic Surgery CurrentSince Oct 29, 2018 Accepting new patients
Valley Physician Enterprise, Inc. Past Accepting new patients
Shenandoah University Family Medicine Past Accepting new patients
Valley Physician Enterprise Inc Past Accepting new patients
Shenandoah University Orthopaedic Surgery Past Accepting new patients
Winchester Orthopaedic Physical Therapy LLC Past Accepting new patients

Locations

1000 N Shenandoah Ave
Front Royal, VA 22630
Phone (540) 636-0300

351 Valley Health Way
Front Royal, VA 22630
Phone (540) 636-0300

135 Memorial Dr
Luray, VA 22835
Phone (540) 743-2887

1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700

220 Campus Blvd
Ste 200
Winchester, VA 22601
Phone (540) 536-0307

240 Shenandoah St
Woodstock, VA 22664
Phone (540) 459-2808

759 S Main St
Woodstock, VA 22664
Phone (540) 459-1100

Organizations & group practices 20

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 20

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1164409504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 UNIVERSITY DR",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226015100",
            "telephone_number": "540-665-5430",
            "fax_number": "540-665-5576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 UNIVERSITY DR",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226015100",
            "telephone_number": "540-665-5430",
            "fax_number": "540-665-5576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYNN",
        "first_name": "AUDREA",
        "middle_name": "H",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-28",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101043925",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "VA",
            "license": "0101043925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010090440",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

Verify at the official NPI Registry.