MARY WYMAN FNP
NPI 1265449797
Nurse Practitioner - Family in Guerneville, CA

Q: What is Mary Wyman's NPI number?

The NPI number for Mary Wyman is 1265449797. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Q: What is Mary Wyman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Wyman was last updated on November 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since August 01, 2006PECOS Enrolled

16319 THIRD STREET, GUERNEVILLE, CA 95446(707) 869-2849(707) 869-1477 Get Directions Write a Review

NPPES record last updated: November 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mary Wyman Fnp NPPES

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

MARY WYMAN FNP (NPI 1265449797) is an individual family provider in Guerneville, California, licensed in California (NP13614) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265449797

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMARY WYMANCredential: FNP

Location Address16319 THIRD STREETGuerneville, CA 95446

Mailing Address523 N Main StSebastopol, CA 95472-3406 · (707) 869-2849 · Fax (707) 869-1477

Phone(707) 869-2849

Fax(707) 869-1477

Sole ProprietorNo

Enumeration DateAugust 1, 2006

Last NPPES UpdateNovember 9, 2007

✔ NPI 1265449797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · NP13614

16319 THIRD STREET, Guerneville, CA 95446

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Other Identifiers 4

OtherNP13614CA · State License Number

Medicare UPINQ14735CA

OtherZZZ73222ZMedicare Part B

Medicare OSCAR/certification551839

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Wyman Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95446 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

$96.16 typical visit price

range $63.04 – $187.01

Typical copayment $24.04 (range $15.76 – $46.75)

Most-billed visit code 99203

Established Patient

$109.88 typical visit price

range $21.02 – $153.40

Typical copayment $27.47 (range $5.25 – $38.35)

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 9

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

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