Active NPI
Becky Wynn, RNC,FNP
- Nurse Practitioner
- Rockwall, TX
National Provider Identifier
1265566640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 514027
- Practice address
- 1005 W Ralph Hall Pkwy
Ste 221
Rockwall, TX 75032-6662 - Phone
- (972) 771-9081
- Fax
- (972) 772-7102
- NPI assigned
- Mar 15, 2007
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 514027 | TX | |
| Nurse Practitioner | 363L00000X | 514027 | TX | Primary |
Addresses
Primary practice location
1005 W Ralph Hall Pkwy
Ste 221
Rockwall, TX 75032-6662
Mailing address
1005 W Ralph Hall Pkwy
Ste 221
Rockwall, TX 75032-6662
Phone (972) 771-9081
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1005 W Ralph Hall Pkwy
Suite 221
Rockwall, TX 75032-6662
Phone (972) 771-9000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Interoperability endpoints
- becky.wynn@sandknophg.eclinicaldirectplus.com
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Heath, TX
- NPI 1427093087
Hospital & facility affiliations 14
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1447250253
-
- Orthopaedic Surgery of the Spine Physician
- Plano, TX
- NPI 1184663163
Hospital
-
dba Hunt Regional
- General Acute Care Hospital
- Greenville, TX
- NPI 1598750721
-
- Physical Medicine & Rehabilitation Physician
- Richardson, TX
- NPI 1114035383
Hospital
-
dba Baylor Scott & White Medical Center Lake Pointe
- General Acute Care Hospital
- Rowlett, TX
- NPI 1205018439
-
dba Texas Health Hospital Rockwall
- General Acute Care Hospital
- Rockwall, TX
- NPI 1629138029
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542240000000",
"number": "1265566640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 W RALPH HALL PKWY",
"address_2": "STE 221",
"city": "ROCKWALL",
"state": "TX",
"postal_code": "750326662",
"telephone_number": "972-771-9081",
"fax_number": "972-772-7102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1005 W RALPH HALL PKWY",
"address_2": "STE 221",
"city": "ROCKWALL",
"state": "TX",
"postal_code": "750326662",
"telephone_number": "972-771-9081",
"fax_number": "972-772-7102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WYNN",
"first_name": "BECKY",
"credential": "RNC,FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-15",
"last_updated": "2018-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "514027",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "514027",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockwall, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2018; 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.