Anita L Wynn, C.R.N.A.

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

APN15193 Issued in TN

Practice address

620 Skyline Drive
Jackson, TN 38301

Phone

(731) 541-7070

Fax

(731) 541-7075

NPI assigned

Sep 7, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Lyn Wynn Other name

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medical Center Anesthesia, IncGroup PAC ID 2769629187, 107 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Jackson-Madison County General Hospital Hospital, Jackson, TN, CCN 440002

Merit-based Incentive Payment System (MIPS)

Final score

91.05 of 100Reported as group

Promoting interoperability

98

Improvement activities

40

Cost

73.85

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Medical Center Anesthesia Inc.

  • Anesthesiology Physician
  • Jackson, TN
  • NPI 1447591730

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• West Tennessee Bone and Joint Clinic PC

  • Specialist
  • Jackson, TN
  • NPI 1831312461

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Jackson Anesthesia & Perioperative Consultants P C

  • Anesthesiology Physician
  • Jackson, TN
  • NPI 1669675807
  NPD (past)
• Mira Healthcare of Tennessee, PLLC

  • Anesthesiology Physician
  • Dickson, TN
  • NPI 1588996805
  NPD (past)
• Professional Anesthesia Associates

  • Anesthesiology Physician
  • Jackson, TN
  • NPI 1568571743
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Jackson Madison County General Hospital

  • General Acute Care Hospital
  • Jackson, TN
  • NPI 1093705428
  Care Compare affiliation

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

{
    "created_epoch": "1283817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531958400000",
    "number": "1316254709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 SKYLINE DRIVE",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "38301",
            "telephone_number": "731-541-7070",
            "fax_number": "731-541-7075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 SKYLINE DRIVE",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "38301",
            "telephone_number": "731-541-7070",
            "fax_number": "731-541-7075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYNN",
        "first_name": "ANITA",
        "middle_name": "L",
        "credential": "C.R.N.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-07",
        "last_updated": "2018-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "APN15193",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "RN163107",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYN",
            "last_name": "WYNN",
            "credential": "C.R.N.A.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• William Jeffery Wright, OTR/L
• WT University Medical Associates Inc
• Karen Wyatt, APN
• Katherine E Wyatt, A.P.R.N.
• Chelsey M Wylde, PSY. D.
• Matthew Wynne, MD
• Erin Lane Yaden, MS
• Edward Scott Yarbro, M.D.
• Perecia Yarbrough
• Marshall Ross Yellen, M.D.

• Certified Registered Nurse Anesthetist in Jackson, TN
• Providers in Jackson, TN by specialty
• Certified Registered Nurse Anesthetist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.