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MATTHEW CHRISTOPHER WYNNE
NPI 1356985949
Physician Assistant - Medical in Glen Allen, VA

Active since November 06, 2019PECOS Enrolled
2151 OLD BRICK RD, GLEN ALLEN, VA 23060(919) 610-1014 Get Directions Write a Review

NPPES record last updated: December 13, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 13, 2021, Nov 6, 2019 (2 updates tracked since 2019).

About Matthew Christopher Wynne NPPES

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

MATTHEW CHRISTOPHER WYNNE (NPI 1356985949) is an individual medical provider in Glen Allen, Virginia, licensed in Virginia (0110008094) and active in the NPI registry since November 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356985949
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMATTHEW CHRISTOPHER WYNNE
Location Address2151 OLD BRICK RDGlen Allen, VA 23060-5837
Mailing Address2151 Old Brick RdGlen Allen, VA 23060-5837
Phone(919) 610-1014
Sole ProprietorNo
Enumeration DateNovember 6, 2019
Last NPPES UpdateDecember 13, 20212 updates tracked since enumeration
NPPES CertifiedDecember 13, 2021
✔ NPI 1356985949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in VA · 0110008094
2151 OLD BRICK RD, Glen Allen, VA 23060
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Matthew Christopher Wynne 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.

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.

MASHAEL MAHMUD PA-C
Physician Assistant
2151 OLD BRICK RD
GLEN ALLEN, VA 23060
Henrico County (540) 207-9171
CARNELL D JOHNSON
Physician Assistant
2151 OLD BRICK RD
GLEN ALLEN, VA 23060
Henrico County (804) 727-6853
BRITNI ROSE NGUYEN PA
Physician Assistant
2151 OLD BRICK RD
GLEN ALLEN, VA 23060
Henrico County (804) 727-6800
JASMINE DUNN
Student in an Organized Health Care Education/Training Program
2151 OLD BRICK RD
GLEN ALLEN, VA 23060
Henrico County (980) 245-6608
BRYAN CROWELL ESTES
Physician Assistant
2151 OLD BRICK RD
GLEN ALLEN, VA 23060
Henrico County (804) 727-6800
JENA HAYCOCK PA
Physician Assistant
2151 OLD BRICK RD
GLEN ALLEN, VA 23060
Henrico County (804) 727-6800
JANE RYU PA
Physician Assistant
2151 OLD BRICK RD
GLEN ALLEN, VA 23060
Henrico County (804) 499-0483
THEODORA ANNA SQUIRE
Student in an Organized Health Care Education/Training Program
2151 OLD BRICK RD
GLEN ALLEN, VA 23060
Henrico County (703) 850-8981

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 Matthew Wynne's NPI number?

The NPI number for Matthew Wynne is 1356985949. It was assigned to this individual provider in the NPPES registry on November 6, 2019.

Where is Matthew Wynne located?

Matthew Wynne practices at 2151 Old Brick Rd, Glen Allen, VA 23060. The listed phone number is (919) 610-1014.

What is Matthew Wynne's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Matthew Wynne enrolled in Medicare?

Yes. Matthew Wynne is registered in the Medicare PECOS enrollment system.

What insurance does Matthew Wynne accept?

Health plans from Providence Health Plan list Matthew Wynne 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 Matthew Wynne was last updated on December 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.