RENEE WYNN CRNP
NPI 1053930958
Nurse Practitioner - Women's Health in Philadelphia, PA

Active since April 10, 2020PECOS Enrolled
5401 OLD YORK RD, PHILADELPHIA, PA 19141(215) 456-8220 Get Directions Write a Review

NPPES record last updated: April 10, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Renee Wynn Crnp NPPES

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

RENEE WYNN CRNP (NPI 1053930958) is an individual women's health provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP021240) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053930958
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameRENEE WYNNCredential: CRNP
Location Address5401 OLD YORK RDPhiladelphia, PA 19141-3030
Mailing Address6912 Chester AvePhiladelphia, PA 19142-1209
Sole ProprietorYes
Enumeration DateApril 10, 2020
NPPES CertifiedApril 10, 2020
NPI 1053930958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License Licensed in PA · SP021240
5401 OLD YORK RD, Philadelphia, PA 19141

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Renee Wynn Crnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19141 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Cardiovascular Disease)
5401 OLD YORK RD, KLEIN BUILDING, SUITE 401
PHILADELPHIA, PA 19141
Internal Medicine (Cardiovascular Disease)
5401 OLD YORK RD, KLEIN 404
PHILADELPHIA, PA 19141
Internal Medicine (Infectious Disease)
5401 OLD YORK RD, KLEIN BLDG. SUITE 331
PHILADELPHIA, PA 19141
Nurse Practitioner (Obstetrics & Gynecology)
5401 OLD YORK RD, SUITE 400
PHILADELPHIA, PA 19141
Internal Medicine
5401 OLD YORK RD, KLEIN363
PHILADELPHIA, PA 19141
Transplant Surgery
5401 OLD YORK RD, KLEIN BLDG STE 509
PHILADELPHIA, PA 19141
Ophthalmology
5401 OLD YORK RD, SUITE 201
PHILADELPHIA, PA 19141
Urology
5401 OLD YORK RD, KLEIN BLDG, SUITE 101
PHILADELPHIA, PA 19141

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 Renee Wynn's NPI number?

The NPI number for Renee Wynn is 1053930958. It was assigned to this individual provider in the NPPES registry on April 10, 2020.

Where is Renee Wynn located?

Renee Wynn practices at 5401 Old York Rd, Philadelphia, PA 19141. The listed phone number is (215) 456-8220.

What is Renee Wynn's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Renee Wynn enrolled in Medicare?

Yes. Renee Wynn is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Renee Wynn was last updated on April 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.