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DR. JONATHAN WYNSTRA M.D.
NPI 1235132960
Obstetrics & Gynecology in Mayfield, KY

Active since May 26, 2005PECOS EnrolledAccepts Medicare Assignment
1111 MEDICAL CENTER CIR, MAYFIELD, KY 42066(270) 251-4543(270) 251-4544 Get Directions Write a Review

NPPES record last updated: October 27, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Jonathan Wynstra M.d. NPPES

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

DR. JONATHAN WYNSTRA M.D. (NPI 1235132960) is an individual obstetrics & gynecology provider in Mayfield, Kentucky, licensed in Kentucky (31915) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS, is affiliated with Jackson Purchase Medical Center, and is a graduate of Medical College Of Wisconsin (1989).

NPPES Registry Identity

NPI1235132960
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. JONATHAN WYNSTRACredential: M.D.
Location Address1111 MEDICAL CENTER CIRMayfield, KY 42066-1194
Mailing Address1111 Medical Center CirMayfield, KY 42066-1194 · (270) 251-4543 · Fax (270) 251-4544
Phone(270) 251-4543
Fax(270) 251-4544
Sole ProprietorYes
Medical School CMSMedical College Of WisconsinGraduated 1989
Enumeration DateMay 26, 2005
Last NPPES UpdateOctober 27, 2014
✔ NPI 1235132960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in KY · 31915
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1111 MEDICAL CENTER CIR, Mayfield, KY 42066
Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type Unspecified0600401
Medicare UPING29420
Medicaid64319155KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jonathan Wynstra 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 ID5496778730
PECOS Enrollment IDI20060112000420
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.

Medicare Billing Reassignment

Medicare enrollment records show Jonathan Wynstra reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pinelake Physician Practice, LLC
0.1 mi
Rural Health
1111 MEDICAL CENTER CIR
Mayfield, KY 42066
  • Reassigned Medicare billing, Kentucky enrollment
  • 71 clinicians in this Medicare group
NPI 1295960532 (270) 251-4543

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Jackson Purchase Medical Center

Acute Care Hospitals · Mayfield, KY
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number180116
Location1099 Medical Center CircleMayfield, KY 42066 · Graves County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42066 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
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 20

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

MRS. CHRISTY MARIE BAKER PHARM.D., MBA
Pharmacist
1111 MEDICAL CENTER CIR
MAYFIELD, KY 42066
Graves County (270) 247-7000
WYNSTRA WOMENS HEALTHCARE, PSC
Obstetrics & Gynecology
1111 MEDICAL CENTER CIR
MAYFIELD, KY 42066
Graves County (270) 251-4545
ALAN L CHRISTENSEN MD PSC
Obstetrics & Gynecology
1111 MEDICAL CENTER CIR
MAYFIELD, KY 42066
Graves County (270) 251-4543
MRS. JENNIFER L CARRICO APRN
Nurse Practitioner (Family)
1111 MEDICAL CENTER CIR
MAYFIELD, KY 42066
Graves County (270) 251-4040
CAITLIN ODOM PA-C
Physician Assistant
1111 MEDICAL CENTER CIR
MAYFIELD, KY 42066
Graves County (270) 251-4527
PINELAKE PHYSICIAN PRACTICE LLC
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
1111 MEDICAL CENTER CIR
MAYFIELD, KY 42066
Graves County (270) 251-4080
PINELAKE PHYSICIAN PRACTICE, LLC
Clinic/Center (Rural Health)
1111 MEDICAL CENTER CIR
MAYFIELD, KY 42066
Graves County (270) 251-4543
MRS. SUSANNE GREENE ARNP
Nurse Practitioner (Family)
1111 MEDICAL CENTER CIR
MAYFIELD, KY 42066
Graves County (270) 251-4055

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 Jonathan Wynstra's NPI number?

The NPI number for Jonathan Wynstra is 1235132960. It was assigned to this individual provider in the NPPES registry on May 26, 2005.

Where is Jonathan Wynstra located?

Jonathan Wynstra practices at 1111 Medical Center Cir, Mayfield, KY 42066. The listed phone number is (270) 251-4543.

What is Jonathan Wynstra's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Jonathan Wynstra enrolled in Medicare?

Yes. Jonathan Wynstra 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.

Which organization bills Medicare for Jonathan Wynstra's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Wynstra reassigns Medicare benefits to Pinelake Physician Practice, LLC (Mayfield, KY). The 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 Jonathan Wynstra's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jonathan Wynstra accept?

Health plans from Anthem Blue Cross and Blue Shield list Jonathan Wynstra 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 Jonathan Wynstra affiliated with any hospitals?

According to CMS data, Jonathan Wynstra is affiliated with Jackson Purchase Medical Center.

When was this NPI record last updated?

The NPPES record for Jonathan Wynstra was last updated on October 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.