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DR. WANDA RENEE MINNIS-DYSON M.D.
NPI 1093837460
Specialist in Washington, DC

Active since April 04, 2007Opted out of Medicare · through Dec 23, 2027
650 PENNSYLVANIA AVE SE, SUITE 250, WASHINGTON, DC 20003(202) 575-4660(202) 547-7900 Get Directions Write a Review

NPPES record last updated: October 11, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Wanda Renee Minnis-dyson M.d. NPPES

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

DR. WANDA RENEE MINNIS-DYSON M.D. (NPI 1093837460) is an individual specialist in Washington, District Of Columbia, licensed in District Of Columbia (MD19253) and active in the NPI registry since April 2007. She has opted out of Medicare through December 23, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1093837460
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameDR. WANDA RENEE MINNIS-DYSONCredential: M.D.
Location Address650 PENNSYLVANIA AVE SE, SUITE 250Washington, DC 20003-4318
Mailing Address650 Pennsylvania Ave Se, Suite 250Washington, DC 20003-4318 · (202) 575-4660 · Fax (202) 547-7900
Phone(202) 575-4660
Fax(202) 547-7900
Sole ProprietorNo
Enumeration DateApril 4, 2007
Last NPPES UpdateOctober 11, 2016
✔ NPI 1093837460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in DC · MD19253
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
650 PENNSYLVANIA AVE SE, Washington, DC 20003
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Other Identifiers 3

Other52-2140839DC · Tin
Medicare UPING21639DC
Medicaid0491820DC

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Wanda Renee Minnis-dyson M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 23, 2013 through December 23, 2027.

Opt-Out Effective DateDecember 23, 2013
Opt-Out In Effect ThroughDecember 23, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.

PRESSLEY RIDGE
Community/Behavioral Health
650 PENNSYLVANIA AVE SE, SUITE C100
WASHINGTON, DC 20003
District of Columbia (202) 544-2906
MILAJURINE TYWANKA LINDSAY P.A.
Physician Assistant
650 PENNSYLVANIA AVE SE, SUITE 50
WASHINGTON, DC 20003
District of Columbia (202) 787-5702
MISS JACQUELINE DENISE LIPSCOMB MSW, LICSW
Social Worker (Clinical)
650 PENNSYLVANIA AVE SE, 440
WASHINGTON, DC 20003
District of Columbia (202) 422-1802
MEMUNATU KAMARA
Case Manager/Care Coordinator
650 PENNSYLVANIA AVE SE
WASHINGTON, DC 20003
District of Columbia (240) 459-9162
MR. IROROME EJIYERE
Case Manager/Care Coordinator
650 PENNSYLVANIA AVE SE
WASHINGTON, DC 20003
District of Columbia (202) 864-4184
DARREN LEE VANDYKE
Chiropractor (Sports Physician)
650 PENNSYLVANIA AVE SE
WASHINGTON, DC 20003
District of Columbia (202) 858-5214
BARBARA JEAN BROWN PHD
Psychologist (Clinical)
650 PENNSYLVANIA AVE SE, SUITE 440
WASHINGTON, DC 20003
District of Columbia (202) 544-5440
DR. ANTHONY AARON FLOOD M.D.
Family Medicine
650 PENNSYLVANIA AVE SE, SUITE 420
WASHINGTON, DC 20003
District of Columbia (202) 547-9001

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 Wanda Minnis-dyson's NPI number?

The NPI number for Wanda Minnis-dyson is 1093837460. It was assigned to this individual provider in the NPPES registry on April 4, 2007.

Where is Wanda Minnis-dyson located?

Wanda Minnis-dyson practices at 650 Pennsylvania Ave SE Suite 250, Washington, DC 20003. The listed phone number is (202) 575-4660.

What is Wanda Minnis-dyson's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Wanda Minnis-dyson enrolled in Medicare?

No. Wanda Minnis-dyson has opted out of Medicare through December 23, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Wanda Minnis-dyson was last updated on October 11, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.