Individual provider Active NPI

Lindsay Wynne, FNP-BC

  • Family Nurse Practitioner
  • Greenwood, MS
National Provider Identifier
1659984789
Registry record updated Aug 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
904107 Issued in MS
Practice address
201 Walthall St
Greenwood, MS 38930-4428
Phone
(662) 453-5331
NPI assigned
Aug 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 904107 MS Primary

Addresses

Primary practice location

201 Walthall St
Greenwood, MS 38930-4428

Mailing address

201 Walthall St
Greenwood, MS 38930-4428
Phone (662) 453-5331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201029002486 MS Practitioner - Nurse Practitioner 7315365160 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
83.94 of 100Reported as group
Quality
67.75
Promoting interoperability
100
Improvement activities
40
Cost
71.17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
904107MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sunder Jagwani MD PA Current Accepting new patients
State of Mississippi - University of Mississippi Medical Center Current Accepting new patients
Michael T. Boler, M.D. CurrentSince Jan 31, 2021 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Aug 23, 2021 Accepting new patients
State of Mississippi-University of Mississippi Medical Center CurrentSince Mar 3, 2023 Accepting new patients
Greenwood Leflore Hospital CurrentSince May 5, 2021 Accepting new patients
State of Mississippi-University of Mississippi Medical Center CurrentSince Mar 3, 2023 Accepting new patients
Central Mississippi Radiology Current Accepting new patients
Greenwood Leflore Hospital CurrentSince Aug 23, 2021 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Mar 3, 2023 Accepting new patients
University Physicians, PLLC Past Accepting new patients
Wound Management Specialists, LLC PastSince Aug 30, 2020 Accepting new patients
Greenwood Leflore Hospital Past Accepting new patients

Locations

504 Clinton Center Dr
Ste 4300
Clinton, MS 39056

1604 Leflore Ave
Greenwood, MS 38930
Phone (662) 453-0532

1401 River Rd
Greenwood, MS 38930
Phone (662) 459-2603

201 Walthall St
Greenwood, MS 38930
Phone (662) 453-5331

1401 River Rd
Rm 442
Greenwood, MS 38930
Phone (662) 459-7149

203 9th St
Greenwood, MS 38930
Phone (662) 227-7020

960 Avent Dr
Ste 2
Grenada, MS 38901
Phone (662) 227-7500

960 Avent Dr
#J
Grenada, MS 38901
Phone (662) 227-6450

965 Avent Dr
Ste 100A
Grenada, MS 38901
Phone (662) 227-7000

Interoperability endpoints

  • Direct secure messaging: lwynne182707@ummc.direct-ci.com

Organizations & group practices 13

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 13

NPI Registry JSON

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1659984789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 WALTHALL ST",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389304428",
            "telephone_number": "662-453-5331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 WALTHALL ST",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389304428",
            "telephone_number": "662-453-5331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYNNE",
        "first_name": "LINDSAY",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-28",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "904107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, MS

Sources for this page

Verify at the official NPI Registry.