NIKKI MO WYNN M.D.
NPI 1184979882
Internal Medicine - Critical Care Medicine in Fort Wayne, IN

Active since July 18, 2012PECOS EnrolledAccepts Medicare Assignment
87.95/100
CMS Quality Rating
7950 W JEFFERSON BLVD, FORT WAYNE, IN 46804(260) 432-2297(260) 434-6481 Get Directions Write a Review

NPPES record last updated: September 30, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 30, 2020, Feb 12, 2019 (2 updates tracked since 2019).

About Nikki Mo Wynn M.d. NPPES

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

NIKKI MO WYNN M.D. (NPI 1184979882) is an individual critical care medicine provider in Fort Wayne, Indiana, licensed in Indiana (01081038A) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS, is affiliated with Lutheran Hospital Of Indiana, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1184979882
Entity TypeIndividualFemale
Primary Taxonomy207RC0200X
Provider Legal NameNIKKI MO WYNNCredential: M.D.
Location Address7950 W JEFFERSON BLVDFort Wayne, IN 46804-4140
Mailing Address6920 Pointe Inverness Way Ste 200Fort Wayne, IN 46804-7934 · (260) 479-3514 · Fax (260) 479-3520
Fax(260) 434-6481
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJuly 18, 2012
Last NPPES UpdateSeptember 30, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2020
NPI 1184979882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License Licensed in IN · 01081038A
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 01081038A (IN)
7950 W JEFFERSON BLVD, Fort Wayne, IN 46804

Other Names 1

Former Name (1)Nang Mo Kham M.d.

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

Nikki Mo Wynn M.d. 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 ID5395987788
PECOS Enrollment IDI20180907001200
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
322 services128 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
63 services60 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
27 services23 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lutheran Hospital Of Indiana

Acute Care Hospitals · Fort Wayne, IN
3/5 CMS rating
OwnershipProprietary
CMS Certification Number150017
Location7950 W Jefferson BlvdFort Wayne, IN 46804 · Allen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46804 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.04
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) E0465
DME-Other DME · category DE005N
1 supplier12 claims12 services$784.18 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 (Critical Care Medicine)
7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Pediatrics (Pediatric Critical Care Medicine)
7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Physician Assistant
7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Emergency Medicine
7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Pediatrics
7950 W JEFFERSON BLVD, SUITE 210
FORT WAYNE, IN 46804
Radiology (Diagnostic Radiology)
7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Pharmacist (Emergency Medicine)
7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Pharmacist
7950 W JEFFERSON BLVD, RESEARCH DEPARTMENT
FORT WAYNE, IN 46804

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 Nikki Wynn's NPI number?

The NPI number for Nikki Wynn is 1184979882. It was assigned to this individual provider in the NPPES registry on July 18, 2012. The provider is also known as Nang Mo Kham M.D..

Where is Nikki Wynn located?

Nikki Wynn practices at 7950 W Jefferson Blvd, Fort Wayne, IN 46804. The listed phone number is (260) 432-2297.

What is Nikki Wynn's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Nikki Wynn enrolled in Medicare?

Yes. Nikki 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 Nikki Wynn accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Nikki 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 Nikki Wynn affiliated with any hospitals?

According to CMS data, Nikki Wynn is affiliated with Lutheran Hospital Of Indiana.

When was this NPI record last updated?

The NPPES record for Nikki Wynn was last updated on September 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.