Individual provider Active NPI

Emily Wyninger, FNP-C

  • Family Nurse Practitioner
  • Lake Charles, LA
National Provider Identifier
1740890367
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
215697 Issued in LA
Practice address
711 Doctor Michael Debakey Dr Ste a
Lake Charles, LA 70601-5785
Phone
(337) 312-8960
Fax
(337) 312-8961
NPI assigned
Aug 7, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1000926 TX
Family Nurse Practitioner 363LF0000X 215697 LA Primary

Addresses

Primary practice location

711 Doctor Michael Debakey Dr Ste a
Lake Charles, LA 70601-5785

Mailing address

711 Doctor Michael Debakey Dr Ste a
Lake Charles, LA 70601-5785
Phone (337) 312-8960

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
I20200925000907 LA Practitioner - Nurse Practitioner 5092134965 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Imperial Health LLPGroup PAC ID 7719886779, 75 clinicians

Practice addresses (Care Compare)

501 Doctor Michael Debakey Dr
Lake Charles, LA 70601-5724
Phone (337) 433-8400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
215697LAMDFamily Nurse Practitioner
1000926TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Imperial Health, LLP CurrentSince Apr 1, 2024 Accepting new patients
Imperial Health LLP CurrentSince Apr 1, 2024 Accepting new patients
Calcasieu Urgent Care LLC CurrentSince Jun 11, 2021 Accepting new patients
Calcasieu Urgent Care, LLC CurrentSince Jun 11, 2021 Accepting new patients
Myers Dermatology LLC PastSince Sep 17, 2020 Accepting new patients

Locations

711 Dr Michael Debakey Dr
Lake Charles, LA 70601
Phone (337) 312-8528

2640 Country Club Rd
Ste 400
Lake Charles, LA 70605
Phone (337) 426-0919

501 Dr Michael Debakey Dr
Lake Charles, LA 70601
Phone (337) 312-8258

Interoperability endpoints

  • Direct secure messaging: emily.wyninger@1288.direct.myezyaccess.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1596758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1740890367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 DOCTOR MICHAEL DEBAKEY DR STE A",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706015785",
            "telephone_number": "337-312-8960",
            "fax_number": "337-312-8961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 DOCTOR MICHAEL DEBAKEY DR STE A",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706015785",
            "telephone_number": "337-312-8960",
            "fax_number": "337-312-8961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYNINGER",
        "first_name": "EMILY",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-07",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1000926",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "215697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.