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JACLYN WYNN PA-C
NPI 1356770887
Physician Assistant - Surgical in Gainesville, FL

Active since November 05, 2013PECOS EnrolledAccepts Medicare Assignment
6440 W NEWBERRY RD, STE 401, GAINESVILLE, FL 32605(352) 332-0030 Get Directions Write a Review

NPPES record last updated: November 5, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jaclyn Wynn Pa-c NPPES

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

JACLYN WYNN PA-C (NPI 1356770887) is an individual surgical provider in Gainesville, Florida, licensed in Florida (PA9107604) and active in the NPI registry since November 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1356770887
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameJACLYN WYNNCredential: PA-C
Location Address6440 W NEWBERRY RD, STE 401Gainesville, FL 32605-4381
Mailing AddressPo Box 140764Gainesville, FL 32614-0764 · (352) 332-0030
Phone(352) 332-0030
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateNovember 5, 2013
✔ NPI 1356770887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in FL · PA9107604
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA9107604 (FL)
6440 W NEWBERRY RD, Gainesville, FL 32605
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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

Jaclyn Wynn Pa-c 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 ID7012143670
PECOS Enrollment IDI20131204000871
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 5

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
83 services83 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
63 services60 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
29 services29 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
27 services27 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
26 services24 patients

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.

STEPHEN SMYTH BEEBE MD FACP
Pediatrics (Adolescent Medicine)
6440 W NEWBERRY RD, #402
GAINESVILLE, FL 32605
Alachua County (352) 333-5500
DR. CHARLES T KLODELL JR. MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
6440 W NEWBERRY RD, SUITE 102
GAINESVILLE, FL 32605
Alachua County (352) 333-5610
KRISTIN FOERSTER ARNP
Nurse Practitioner (Obstetrics & Gynecology)
6440 W NEWBERRY RD, SUITE 508
GAINESVILLE, FL 32605
Alachua County (352) 332-7222
JEAN COOK M.D.
Obstetrics & Gynecology
6440 W NEWBERRY RD, SUITE 508
GAINESVILLE, FL 32605
Alachua County (352) 332-7222
DR. GREGORY J BAILEY MD
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
6440 W NEWBERRY RD, #409
GAINESVILLE, FL 32605
Alachua County (352) 333-6161
SANDRA CONNELL CST
Registered Nurse
6440 W NEWBERRY RD, SUITE 401
GAINESVILLE, FL 32605
Alachua County (352) 332-0030
CAROLE A KALIVODA ARNP
Nurse Practitioner
6440 W NEWBERRY RD, SUITE 409
GAINESVILLE, FL 32605
Alachua County (352) 333-6161
DR. ERIC W SCOTT MEDICAL DOCTOR
Neurological Surgery
6440 W NEWBERRY RD, SUITE 401
GAINESVILLE, FL 32605
Alachua County (352) 332-0030

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 Jaclyn Wynn's NPI number?

The NPI number for Jaclyn Wynn is 1356770887. It was assigned to this individual provider in the NPPES registry on November 5, 2013.

Where is Jaclyn Wynn located?

Jaclyn Wynn practices at 6440 W Newberry Rd Ste 401, Gainesville, FL 32605. The listed phone number is (352) 332-0030.

What is Jaclyn Wynn's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Jaclyn Wynn enrolled in Medicare?

Yes. Jaclyn 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 Jaclyn Wynn was last updated on November 5, 2013. 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.