LINDA WYNNE RPAC
NPI 1043231699
Physician Assistant - Medical in Port Jefferson Station, NY
About Linda Wynne Rpac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LINDA WYNNE RPAC (NPI 1043231699) is an individual medical provider in Port Jefferson Station, New York, licensed in New York (006266-1) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Linda Wynne Rpac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORT JEFFERSON STATION, NY 11776
PORT JEFFERSON STATION, NY 11776
PORT JEFFERSON STATION, NY 11776
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 Linda Wynne's NPI number?
The NPI number for Linda Wynne is 1043231699. It was assigned to this individual provider in the NPPES registry on July 21, 2006.
Where is Linda Wynne located?
Linda Wynne practices at 815 Hallock Ave, Port Jefferson Station, NY 11776. The listed phone number is (631) 331-7267.
What is Linda Wynne's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Linda Wynne enrolled in Medicare?
Yes. Linda Wynne is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Linda Wynne was last updated on September 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Linda Wynne, RPAC · NPI 1043231699
Medical physician in Port Jefferson Station, New York. Individual provider, active in the CMS NPPES registry since July 21, 2006.
## Identity
- **NPI:** 1043231699 (Entity type: Individual)
- **Enumerated:** July 21, 2006
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** 006266-1 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 815 HALLOCK AVE, Port Jefferson Station, NY 11776-1220
- **Phone:** (631) 331-7267
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** September 16, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1043231699) · Data from the CMS NPPES public registry.