ANDREW WYNN
NPI 1154999712
Emergency Medicine in Vivian, LA

Active since June 11, 2021PECOS EnrolledAccepts Medicare Assignment
815 S PINE ST, VIVIAN, LA 71082(318) 375-3239 Get Directions Write a Review

NPPES record last updated: August 2, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 2, 2024, Jun 11, 2021 (2 updates tracked since 2021).

About Andrew Wynn NPPES

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

ANDREW WYNN (NPI 1154999712) is an individual emergency medicine provider in Vivian, Louisiana, licensed in Louisiana (341036) 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

NPI1154999712
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameANDREW WYNN
Location Address815 S PINE STVivian, LA 71082-3353
Mailing AddressPo Box 792Vivian, LA 71082-0792 · (318) 375-3232
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateJune 11, 2021
Last NPPES UpdateAugust 2, 20242 updates tracked since enumeration
NPPES CertifiedAugust 2, 2024
NPI 1154999712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in LA · 341036
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
815 S PINE ST, Vivian, LA 71082

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.

PECOS PAC ID7315485745
PECOS Enrollment IDI20240816002106
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.

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, LA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190041
Location1453 E Bert Kouns Industrial LoopShreveport, LA 71105 · Caddo County
Emergency services Birthing friendly

Physician 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.

New Patient
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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 17

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

Family Medicine
815 S PINE ST
VIVIAN, LA 71082
Clinic/Center (Rural Health)
815 S PINE ST
VIVIAN, LA 71082
Radiology (Diagnostic Radiology)
815 S PINE ST
VIVIAN, LA 71082
Emergency Medicine
815 S PINE ST
VIVIAN, LA 71082
Clinic/Center (Dental)
815 S PINE ST
VIVIAN, LA 71082
General Acute Care Hospital (Critical Access)
815 S PINE ST
VIVIAN, LA 71082
Clinical Medical Laboratory
815 S PINE ST
VIVIAN, LA 71082
General Acute Care Hospital (Critical Access)
815 S PINE ST
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 Emergency Medicine with taxonomy code 207P00000X.

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 August 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.