MS. CONSTANCE RUTH WYLIE
NPI 1376630814
Nurse Practitioner in San Francisco, CA

Q: What is Constance Wylie's NPI number?

The NPI number for Constance Wylie is 1376630814. It was assigned to this individual provider in the NPPES registry on October 6, 2006. The provider is also known as Ms. Connie Ruth Wylie Fnp.

Q: What is Constance Wylie's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Constance Wylie was last updated on April 1, 2022. 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.

Active since October 06, 2006PECOS EnrolledAccepts Medicare Assignment

1100 VAN NESS AVE, SAN FRANCISCO, CA 94109(415) 600-1010(415) 558-7051 Get Directions Write a Review

NPPES record last updated: April 1, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ms. Constance Ruth Wylie NPPES

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

MS. CONSTANCE RUTH WYLIE (NPI 1376630814) is an individual nurse practitioner in San Francisco, California, licensed in California (NP7089) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1376630814

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMS. CONSTANCE RUTH WYLIE

Location Address1100 VAN NESS AVESan Francisco, CA 94109-6978

Mailing Address21300 Bald Ridge DrPenn Valley, CA 95946-9402 · (530) 304-9606

Phone(415) 600-1010

Fax(415) 558-7051

Sole ProprietorNo

Medical School CMSOtherGraduated 1994

Enumeration DateOctober 6, 2006

Last NPPES UpdateApril 1, 2022

NPPES CertifiedApril 1, 2022

✔ NPI 1376630814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in CA · NP7089

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1100 VAN NESS AVE, San Francisco, CA 94109

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Other Names 1

Other Name (5)Ms. Connie Ruth Wylie Fnp

Secondary Practice Locations 3

Location 11401 Spanos Ct Ste 125Modesto, CA 95355-2814 · Phone (916) 732-4380 · Fax (415) 558-7051

Location 21601 Esplanade Ste 3Chico, CA 95926-3370 · Phone (415) 600-1020 · Fax (415) 600-1005

Location 31315 Alhambra Blvd Ste 210Sacramento, CA 95816-5246 · Phone (916) 732-4380 · Fax (916) 739-0893

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

Ms. Constance Ruth Wylie 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 ID244326254

PECOS Enrollment IDI20071022000264

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 3

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 high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

77 services65 patients

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.

53 services48 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

23 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94109 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

$104.51 typical visit price

range $69.00 – $202.35

Typical copayment $26.12 (range $17.25 – $50.58)

Most-billed visit code 99203

Established Patient

$119.48 typical visit price

range $23.44 – $166.46

Typical copayment $29.87 (range $5.86 – $41.61)

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.

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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.

CHIALIN LEE PA-C

Physician Assistant