Andrea Wynn, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APN.0999471-NP Issued in CO

Practice address

1435 Garrison St
Ste 100
Lakewood, CO 80215-4748

Phone

(417) 425-4302

NPI assigned

Feb 6, 2024

Sex

Female

Sole proprietor

Yes

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 CO

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 Missouri, Columbia School of Medicine, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Denver Wellness AssociatesGroup PAC ID 3274949730, 50 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Denver Wellness Associates

  • Child & Adolescent Psychiatry Physician
  • Denver, CO
  • NPI 1144707878
  Medicare reassignment Care Compare group NPD
• Denver Wellness Associates

  • Child & Adolescent Psychiatry Physician
  • Lakewood, CO
  • NPI 1073271466
  NPD
• Denver Wellness Associates

  • Child & Adolescent Psychiatry Physician
  • Broomfield, CO
  • NPI 1396577177
  NPD (past)
• Denver Wellness Associates

  • Psychiatry Physician
  • Greenwood Village, CO
  • NPI 1851177588
  NPD (past)

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

{
    "created_epoch": "1707177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1962265454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1435 GARRISON ST",
            "address_2": "STE 100",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802154748",
            "telephone_number": "720-724-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 GARRISON ST",
            "address_2": "STE 100",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802154748",
            "telephone_number": "417-425-4302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYNN",
        "first_name": "ANDREA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-06",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN.0999471-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ralph J Wright III, MD
• Karen A Wubben, RN, BSN
• Sophie Wurm, CCH, LHP
• Robert John Wurtzebach, D.D.S., R.PH.
• Lynn Wylie
• Jamie Xiong, APRN, RN
• Qing Xu
• Rachel Yoon Hee Yager, B.S.
• Wing Yan, AUD
• Kelly Yang, LCSW

• Psychiatric/Mental Health Nurse Practitioner in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Psychiatric/Mental Health Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.