ANDREW WYNN
NPI 1154999712
Family Medicine in Vivian, LA
About Andrew Wynn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANDREW WYNN (NPI 1154999712) is an individual family medicine provider in Vivian, Louisiana, licensed in Texas (W6003) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS, is affiliated with Christus Shreveport-bossier Health System, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Andrew Wynn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Christus Shreveport-Bossier Health System
Acute Care Hospitals · Shreveport, LAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 71082 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 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
VIVIAN, LA 71082
VIVIAN, LA 71082
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 Andrew Wynn's NPI number?
The NPI number for Andrew Wynn is 1154999712. It was assigned to this individual provider in the NPPES registry on June 11, 2021.
Where is Andrew Wynn located?
Andrew Wynn practices at 815 S Pine St, Vivian, LA 71082. The listed phone number is (318) 375-3239.
What is Andrew Wynn's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Andrew Wynn enrolled in Medicare?
Yes. Andrew Wynn is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Andrew Wynn accept?
Health plans from HMO Louisiana list Andrew Wynn as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Andrew Wynn affiliated with any hospitals?
According to CMS data, Andrew Wynn is affiliated with Christus Shreveport-Bossier Health System.
When was this NPI record last updated?
The NPPES record for Andrew Wynn was last updated on September 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.
# Andrew Wynn · NPI 1154999712
Family Medicine physician in Vivian, Louisiana. Individual provider, active in the CMS NPPES registry since June 11, 2021.
## Identity
- **NPI:** 1154999712 (Entity type: Individual)
- **Enumerated:** June 11, 2021
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** W6003 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 815 S PINE ST, Vivian, LA 71082-3353
- **Phone:** (318) 375-3239
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** September 17, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1154999712) · Data from the CMS NPPES public registry.