RENEE WYNN CRNP
NPI 1053930958
Nurse Practitioner - Women's Health in Philadelphia, PA
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
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Renee Wynn Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Renee Wynn reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Philadelphia, PA 19141
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,205 clinicians in this Medicare group
Philadelphia, PA 19104
- Reassigned Medicare billing, Pennsylvania enrollment
- 3,488 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
PHILADELPHIA, PA 19141
PHILADELPHIA, PA 19141
PHILADELPHIA, PA 19141
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.
Which organizations bill Medicare for Renee Wynn's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Renee Wynn reassigns Medicare benefits to 2 organizations: Einstein Practice Plan, Inc. (Philadelphia, PA) and University Of Penn-Medical Group (Philadelphia, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Renee Wynn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Renee Wynn, CRNP · NPI 1053930958
Women's Health physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since April 10, 2020.
## Identity
- **NPI:** 1053930958 (Entity type: Individual)
- **Enumerated:** April 10, 2020
- **Primary specialty:** Nurse Practitioner - Women's Health · taxonomy 363LW0102X
- **State license:** SP021240 (Pennsylvania)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 5401 OLD YORK RD, Philadelphia, PA 19141-3030
- **Phone:** (215) 456-8220
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Einstein Practice Plan, Inc. (NPI 1154419166, Philadelphia, PA); University Of Penn-Medical Group (NPI 1821486846, Philadelphia, PA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 10, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1053930958) · Data from the CMS NPPES public registry.