CHESTER WYNN MD PA
NPI 1255058822
General Practice in Magnolia, AR

Q: What is Chester Wynn MD PA's NPI number?

The NPI number for Chester Wynn MD PA is 1255058822. It was assigned to this organization in the NPPES registry on October 25, 2022.

Q: What is Chester Wynn MD PA's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since October 25, 2022CLIA 04D0880610 · Microscopy

118 W STADIUM, MAGNOLIA, AR 71753(870) 234-6191(870) 234-8194 Get Directions Write a Review

NPPES record last updated: October 25, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Chester Wynn Md Pa NPPES

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

CHESTER WYNN MD PA (NPI 1255058822) is a healthcare organization registered as a general practice in Magnolia, Arkansas and active in the NPI registry since October 2022. The organization holds a CLIA Microscopy certificate valid through December 15, 2027 and lists Chester M Wynn, President, as its authorized official.

NPPES Registry Identity

NPI1255058822

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameCHESTER WYNN MD PA

Location Address118 W STADIUMMagnolia, AR 71753-2070

Mailing Address118 W StadiumMagnolia, AR 71753-2070 · (870) 234-6191 · Fax (870) 234-8194

Phone(870) 234-6191

Fax(870) 234-8194

Organization SubpartNo

Authorized OfficialChester M WynnPresident · (870) 234-6191

Enumeration DateOctober 25, 2022

NPPES CertifiedOctober 24, 2022

✔ NPI 1255058822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

118 W STADIUM, Magnolia, AR 71753

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 04D0880610

Chester M Wynn MD PA · Magnolia, AR

Active · expires Dec 15, 2027

CLIA Number04D0880610

Laboratory TypePhysician Office

Certificate Effective DateDecember 16, 2025

Certificate Expiration DateDecember 15, 2027

Laboratory DirectorChester M. Wynn MD

Laboratory Phone(870) 234-6191

Laboratory LocationChester M Wynn MD PA118 West Stadium, Magnolia, AR 71753

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

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

DR. CHESTER M WYNN M.D.

General Practice

118 W STADIUM
MAGNOLIA, AR 71753

Columbia County (870) 234-6191

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 Chester Wynn MD PA's NPI number?

The NPI number for Chester Wynn MD PA is 1255058822. It was assigned to this organization in the NPPES registry on October 25, 2022.

Where is Chester Wynn MD PA located?

Chester Wynn MD PA is located at 118 W Stadium, Magnolia, AR 71753. The listed phone number is (870) 234-6191.

What is Chester Wynn MD PA's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Chester Wynn MD PA hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 04D0880610) is associated with this NPI, valid through December 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Chester Wynn MD PA accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 2 other insurers list Chester Wynn MD PA 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.

When was this NPI record last updated?

The NPPES record for Chester Wynn MD PA was last updated on October 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.