1. Home
  2. Directory
  3. North Carolina
  4. Winston Salem
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

JENNIFER WYLIE MD, MS
NPI 1003566118
Student in an Organized Health Care Education/Training Program in Winston-salem, NC

Active since March 24, 2022PECOS Enrolled
1 MEDICAL CENTER BLVD., SURGERY OUTPATIENT CLINIC 5TH JANEWAY TOWER, WINSTON-SALEM, NC 27157(336) 716-0423 Get Directions Write a Review

NPPES record last updated: March 24, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jennifer Wylie Md, Ms NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER WYLIE MD, MS (NPI 1003566118) is an individual student in an organized health care education/training program in Winston-salem, North Carolina and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003566118
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJENNIFER WYLIECredential: MD, MS
Location Address1 MEDICAL CENTER BLVD., SURGERY OUTPATIENT CLINIC 5TH JANEWAY TOWERWinston-salem, NC 27157
Mailing Address1 Medical Center Blvd, Surgery Outpatient Clinic - 5th Janeway TowerWinston Salem, NC 27157-0001 · (505) 702-1166
Phone(336) 716-0423
Sole ProprietorNo
Enumeration DateMarch 24, 2022
NPPES CertifiedMarch 24, 2022
✔ NPI 1003566118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1 MEDICAL CENTER BLVD., Winston-salem, NC 27157
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Wylie Md, Ms is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Wylie's NPI number?

The NPI number for Jennifer Wylie is 1003566118. It was assigned to this individual provider in the NPPES registry on March 24, 2022.

Where is Jennifer Wylie located?

Jennifer Wylie practices at 1 Medical Center Blvd. Surgery Outpatient Clinic 5th Janeway Tower, Winston-Salem, NC 27157. The listed phone number is (336) 716-0423.

What is Jennifer Wylie's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jennifer Wylie enrolled in Medicare?

Yes. Jennifer Wylie is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jennifer Wylie was last updated on March 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.