Individual provider Active NPI

Wynne Dee Rinicker, APRN/MASTER FNP

  • Nurse Practitioner
  • Ruston, LA
National Provider Identifier
1730468083
Registry record updated Jun 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP06607 Issued in LA
Practice address
1140 S Vienna St
Ruston, LA 71270-5834
Phone
(318) 224-7190
Fax
(318) 224-7194
NPI assigned
Aug 4, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP06607 LA Primary

Addresses

Primary practice location

1140 S Vienna St
Ruston, LA 71270-5834

Mailing address

PO Box 1288
Winnfield, LA 71483-1288
Phone (318) 209-4510

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20111010000372 LA Practitioner - Nurse Practitioner 0042480956 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

431 W Lafayette St
Winnfield, LA 71483-3463
Phone (318) 648-0375

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Winn Community Health Center, Inc. CurrentSince Sep 1, 2018 Accepting new patients
Winn Community Health Center, Inc. CurrentSince Sep 1, 2018 Accepting new patients
Winn Community Health Center, Inc. Current Accepting new patients
Winn Community Health Center, Inc. Past Accepting new patients
Winn Community Health Center, Inc. Past Accepting new patients
Winn Community Health Center, Inc. Past Accepting new patients

Locations

2727 Jones Ave
Alexandria, LA 71302
Phone (318) 209-4510

2200 N Bolton Ave
Alexandria, LA 71303
Phone (318) 693-1311

505 Texas Ave
Alexandria, LA 71301
Phone (318) 704-6283

122 Maryland Ave
Alexandria, LA 71301
Phone (318) 628-0088

340 Webb Smith Dr
Colfax, LA 71417
Phone (318) 627-3700

301 3rd St
Colfax, LA 71417
Phone (318) 627-3254

646 Highway 1207
Deville, LA 71328
Phone (318) 545-6416

1000 Highway 1241
Dry Prong, LA 71423
Phone (318) 640-5487

2580 Highway 122
Montgomery, LA 71454
Phone (318) 640-5487

9465 Highway 165
Pollock, LA 71467
Phone (318) 310-2070

3265 Military Rd
Ringgold, LA 71068
Phone (318) 894-0220

2826 Bienville Rd
Ringgold, LA 71068
Phone (318) 894-2341

1140 S Vienna St
Ruston, LA 71270
Phone (318) 224-7190

1601 Bittersweet Ave
Ruston, LA 71270
Phone (318) 255-5724

401 E Vaughn Ave
Ste 104105
Ruston, LA 71270
Phone (318) 224-7190

631 Thomas Mill Rd
Winnfield, LA 71483
Phone (318) 302-3263

403 W South Ave
Winnfield, LA 71483
Phone (318) 302-3263

431 W Lafayette St
Winnfield, LA 71483
Phone (318) 209-4510

Interoperability endpoints

  • Direct secure messaging: wynne.rinicker@lincolnchc.eclinicaldirectplus.com

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1312416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561507200000",
    "number": "1730468083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1288",
            "city": "WINNFIELD",
            "state": "LA",
            "postal_code": "714831288",
            "telephone_number": "318-209-4510",
            "fax_number": "318-209-4519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 S VIENNA ST",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712705834",
            "telephone_number": "318-224-7190",
            "fax_number": "318-224-7194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RINICKER",
        "first_name": "WYNNE",
        "middle_name": "DEE",
        "credential": "APRN/MASTER FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-04",
        "last_updated": "2019-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "AP06607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ruston, LA

Sources for this page

Verify at the official NPI Registry.