1. Home
  2. Directory
  3. Idaho
  4. Boise
  5. Psychiatry Neurology
  6. NPI Profile

DONRAPHAEL WYNN M.D.
NPI 1396188751
Psychiatry & Neurology - Neurology in Boise, ID

Active since April 16, 2013PECOS EnrolledAccepts Medicare Assignment
1072 N LIBERTY ST, STE 303, BOISE, ID 83704(208) 302-4200(208) 302-4255 Get Directions Write a Review

NPPES record last updated: November 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 13, 2025, Nov 14, 2024, Oct 24, 2018 and 1 more (4 updates tracked since 2017).

About Donraphael Wynn M.d. NPPES

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

DONRAPHAEL WYNN M.D. (NPI 1396188751) is an individual neurology provider in Boise, Idaho, licensed in Idaho (M-14403) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (2013).

NPPES Registry Identity

NPI1396188751
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDONRAPHAEL WYNNCredential: M.D.
Location Address1072 N LIBERTY ST, STE 303Boise, ID 83704
Mailing Address3340 E Goldstone WayMeridian, ID 83642 · (208) 302-4200 · Fax (208) 302-4255
Phone(208) 302-4200
Fax(208) 302-4255
Sole ProprietorYes
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 2013
Enumeration DateApril 16, 2013
Last NPPES UpdateNovember 13, 20254 updates tracked since enumeration
NPPES CertifiedNovember 13, 2025
✔ NPI 1396188751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in ID · M-14403
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedOphthalmologyTaxonomy 207W00000X · License 9164199-1205 (UT)
Also ListedOphthalmology · Neuro-ophthalmologyTaxonomy 207WX0109X · License 9164199-1205 (UT)
1072 N LIBERTY ST, Boise, ID 83704
Open in Google Maps ↗

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 and accepts Medicare assignment

Donraphael Wynn M.d. 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 ID1951627124
PECOS Enrollment IDI20181213001134
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.

Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
115 services88 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
110 services110 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
104 services83 patients
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.
92 services67 patients
Exam to measure eye deviation and range of motion 92060
This is an eye exam that checks for any misalignment in your eyes, also known as deviation. It also assesses the movement range of your eyes. The procedure is painless and helps in detecting conditions like strabismus or other vision issues.
42 services35 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130006
Location190 East Bannock StreetBoise, ID 83712 · Ada County
Emergency services Birthing friendly

Saint Alphonsus Regional Medical Center

Acute Care Hospitals · Boise, ID
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number130007
Location1055 North Curtis RoadBoise, ID 83706 · Ada County
Emergency services Birthing friendly

Saint Alphonsus Medical Center - Nampa

Acute Care Hospitals · Nampa, ID
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number130013
Location4300 E Flamingo AveNampa, ID 83687 · Canyon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83704 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
$121.27 typical visit price
range $52.44 – $160.17
Typical copayment $30.31 (range $13.11 – $40.04)
Most-billed visit code 99204
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
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 20

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

BRUCE J ANDERSEN MD
Neurological Surgery
1072 N LIBERTY ST, SUITE 303
BOISE, ID 83704
Ada County (208) 367-4035
COLIN ALAN LYNESS MD
Psychiatry & Neurology (Neurology)
1072 N LIBERTY ST, STE 303
BOISE, ID 83704
Ada County (208) 302-4200
DR. JULIANA L DIGIOSIA MD
Obstetrics & Gynecology
1072 N LIBERTY ST, SUITE 100
BOISE, ID 83704
Ada County (208) 302-1200
SHANA L TUBACH MD
Pediatrics
1072 N LIBERTY ST, SUITE 203
BOISE, ID 83704
Ada County (208) 302-5800
DR. REBECCA L MCCAFFREY MD
Obstetrics & Gynecology
1072 N LIBERTY ST, SUITE 100
BOISE, ID 83704
Ada County (208) 302-1200
TREASURE VALLEY COLON & RECTAL CLINIC PLLC
Colon & Rectal Surgery
1072 N LIBERTY ST, SUITE 201
BOISE, ID 83704
Ada County (208) 377-2273
KARISSA DEANN KEENAN M.D.
Obstetrics & Gynecology
1072 N LIBERTY ST, STE 100
BOISE, ID 83704
Ada County (208) 302-1200
DR. JACKIE J WHITESELL MD
Psychiatry & Neurology (Neurology)
1072 N LIBERTY ST, SUITE 303
BOISE, ID 83704
Ada County (208) 367-2800

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 Donraphael Wynn's NPI number?

The NPI number for Donraphael Wynn is 1396188751. It was assigned to this individual provider in the NPPES registry on April 16, 2013.

Where is Donraphael Wynn located?

Donraphael Wynn practices at 1072 N Liberty St Ste 303, Boise, ID 83704. The listed phone number is (208) 302-4200.

What is Donraphael Wynn's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Donraphael Wynn enrolled in Medicare?

Yes. Donraphael 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.

What insurance does Donraphael Wynn accept?

Health plans from Providence Health Plan list Donraphael Wynn 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.

Is Donraphael Wynn affiliated with any hospitals?

According to CMS data, Donraphael Wynn is affiliated with St Luke's Regional Medical Center, Saint Alphonsus Regional Medical Center and Saint Alphonsus Medical Center - Nampa.

When was this NPI record last updated?

The NPPES record for Donraphael Wynn was last updated on November 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.