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MRS. LISA ANN WYNN APRN
NPI 1295065688
Nurse Practitioner - Family in Pennington Gap, VA

Active since January 06, 2010PECOS EnrolledAccepts Medicare Assignment
41718 W MORGAN AVE STE 101, PENNINGTON GAP, VA 24277(276) 231-9228(877) 770-7177 Get Directions Write a Review

NPPES record last updated: March 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2025, Jun 17, 2024, Nov 29, 2022 and 2 more (5 updates tracked since 2017).

About Mrs. Lisa Ann Wynn Aprn NPPES

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

MRS. LISA ANN WYNN APRN (NPI 1295065688) is an individual family provider in Pennington Gap, Virginia, licensed in Virginia (0024184082) and active in the NPI registry since January 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1295065688
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. LISA ANN WYNNCredential: APRN
Location Address41718 W MORGAN AVE STE 101Pennington Gap, VA 24277-3224
Mailing Address334 Corinth Church DrJonesville, VA 24263-7992 · (606) 795-7533
Phone(276) 231-9228
Fax(877) 770-7177
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJanuary 6, 2010
Last NPPES UpdateMarch 17, 20255 updates tracked since enumeration
NPPES CertifiedMarch 17, 2025
✔ NPI 1295065688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in VA · 0024184082
Also ListedNurse PractitionerTaxonomy 363L00000X · License 3010956 (KY), 0024184082 (VA)
41718 W MORGAN AVE STE 101, Pennington Gap, VA 24277
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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

Mrs. Lisa Ann Wynn Aprn 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 ID9133403801
PECOS Enrollment IDI20221020003438
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

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
74 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24277 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
2 suppliers19 claims46 services$5.77 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Lisa Wynn's NPI number?

The NPI number for Lisa Wynn is 1295065688. It was assigned to this individual provider in the NPPES registry on January 6, 2010.

Where is Lisa Wynn located?

Lisa Wynn practices at 41718 W Morgan Ave Ste 101, Pennington Gap, VA 24277. The listed phone number is (276) 231-9228.

What is Lisa Wynn's specialty?

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

Is Lisa Wynn enrolled in Medicare?

Yes. Lisa 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.

When was this NPI record last updated?

The NPPES record for Lisa Wynn was last updated on March 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.