WYNN MEDICAL CENTER
NPI 1457056566
Clinic/Center - Health Service in Duffield, VA
About Wynn Medical Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WYNN MEDICAL CENTER (NPI 1457056566) is a healthcare organization registered as a health service in Duffield, Virginia and active in the NPI registry since March 2023. The organization maintains a secondary practice location in Pennington Gap and lists Lisa Ann Wynn, Provider, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Wynn Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Wynn Medical Center, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Wynn Medical Center's NPI number?
The NPI number for Wynn Medical Center is 1457056566. It was assigned to this organization in the NPPES registry on March 31, 2023.
Where is Wynn Medical Center located?
Wynn Medical Center is located at 225 Boone Trail Rd Suite 200, Duffield, VA 24244. The listed phone number is (276) 231-9228.
What is Wynn Medical Center's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.
Is Wynn Medical Center enrolled in Medicare?
Yes. Wynn Medical Center is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Wynn Medical Center?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Wynn Medical Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Wynn Medical Center was last updated on May 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Wynn Medical Center · NPI 1457056566
Health Service organization in Duffield, Virginia. Organization record, active in the CMS NPPES registry since March 31, 2023.
## Identity
- **NPI:** 1457056566 (Entity type: Organization)
- **Enumerated:** March 31, 2023
- **Primary specialty:** Clinic/Center - Health Service · taxonomy 261QH0100X
- **Organization subpart:** No
- **Authorized official:** Lisa Wynn, PROVIDER
## Practice location
- **Address:** 225 BOONE TRAIL RD, SUITE 200, Duffield, VA 24244
- **Phone:** (276) 231-9228
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 30, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1457056566) · Data from the CMS NPPES public registry.