Amy L Wynn, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

NP.1-076002 Issued in AL

Practice address

1103 15TH Ave SE
Decatur, AL 35601-3345

Phone

(256) 350-0153

NPI assigned

Jun 29, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

Nurse Practitioner

Education

University of Alabama School of Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Decatur Morgan SpecialistsGroup PAC ID 1254736556, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: amy.wynn@dga.direct.systemedx.com

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.

• Decatur Morgan Specialists

  • Gastroenterology Physician
  • Decatur, AL
  • NPI 1417528274
  Medicare reassignment Care Compare group NPD
• Heca, LLC

  • Certified Registered Nurse Anesthetist
  • Huntsville, AL
  • NPI 1336683135
  NPD (past)

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

{
    "created_epoch": "1277769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359417600000",
    "number": "1689985152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 15TH AVE SE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356013345",
            "telephone_number": "256-350-0153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 15TH AVE SE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356013345",
            "telephone_number": "256-350-0153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYNN",
        "first_name": "AMY",
        "middle_name": "L",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-29",
        "last_updated": "2013-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "NP.1-076002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kahdian Alexia Wright-Brown
• Crystal Wright
• Kelli Wright, LCSW
• WS Community Service, LLC
• Samantha S Wyatt, M.D.
• Tara Monet Wynn, MS
• Xtraordinary People Inc.
• Larryn Yarbrough
• Misty Yates
• Me'Lissa R Young-Harkins, D.O.

• Nurse Practitioner in Decatur, AL
• Providers in Decatur, AL by specialty
• Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; 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.

Verify at the official NPI Registry.