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VANDER M WYNN MD
NPI 1497866040
Anesthesiology in North Port, FL

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
5309 WATERVIEW DR, NORTH PORT, FL 34291(239) 261-1158(239) 261-4232 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Vander M Wynn Md NPPES

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

VANDER M WYNN MD (NPI 1497866040) is an individual anesthesiology provider in North Port, Florida, licensed in Florida (ME66148) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Rutherford Regional Medical Center, and is a graduate of University Of Oklahoma College Of Medicine (1990).

NPPES Registry Identity

NPI1497866040
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameVANDER M WYNNCredential: MD
Location Address5309 WATERVIEW DRNorth Port, FL 34291-8032
Mailing Address5309 Waterview DrNorth Port, FL 34291-8032 · (239) 261-1158 · Fax (239) 261-4232
Phone(239) 261-1158
Fax(239) 261-4232
Sole ProprietorNo
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 1990
Enumeration DateAugust 31, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1497866040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
Licenses✔ Licensed in FL · ME66148✔ Licensed in NY · 281372✔ Licensed in GA · 075180
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
5309 WATERVIEW DR, North Port, FL 34291
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Other Identifiers 3

Other050029800Railroad Medicare
Medicaid375454500FL
Other25438FL · Blue Cross Blue Shield Of Fl

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Vander M Wynn Md 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 ID1557391125
PECOS Enrollment IDI20170216002054, I20171215000588
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Vander Wynn reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sheridan Healthcorp Inc
25 mi
Anesthesiology
3201 S TAMIAMI TRL
Sarasota, FL 34239
  • Reassigned Medicare billing, Florida enrollment
  • 1,973 clinicians in this Medicare group
NPI 1104498583 (877) 328-1119
Gulf-To-Bay Anesthesiology Associates LLC
41 mi
Anesthesiology
8350 RIVERWALK PARK BLVD, SUITE 4
Fort Myers, FL 33919
  • Reassigned Medicare billing, Florida enrollment
  • 1,287 clinicians in this Medicare group
NPI 1770841793 (813) 844-4434
Davis Memorial Hospital
828 mi
General Acute Care Hospital
812 GORMAN AVE
Elkins, WV 26241
  • Reassigned Medicare billing, West Virginia enrollment
  • 246 clinicians in this Medicare group
NPI 1619964806 (304) 636-3300
Medstream Anesthesia PLLC
958 mi
Anesthesiology
2221 LAKESIDE BLVD STE 600
Richardson, TX 75082
  • Reassigned Medicare billing, North Carolina, South Carolina, Virginia and West Virginia enrollments
  • 493 clinicians in this Medicare group
NPI 1649616160 (828) 210-9386

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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.

Injection of anesthetic agent and/or steroid into arm nerve bundle (brachial plexus) 64415
This procedure involves injecting a numbing agent or steroid into your arm's nerve bundle. It's done to manage pain or inflammation. The injection helps block nerve signals that cause discomfort, providing relief. It's a safe, common procedure.
17 services17 patients

Hospital Affiliations CMS Care Compare

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

Rutherford Regional Medical Center

Acute Care Hospitals · Rutherfordton, NC
3/5 CMS rating
OwnershipProprietary
CMS Certification Number340013
Location288 South Ridgecrest AveRutherfordton, NC 28139 · Rutherford County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES

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

NATALIE CORINNE HART CRNA
Nurse Anesthetist, Certified Registered
5309 WATERVIEW DR
NORTH PORT, FL 34291
Sarasota County (941) 639-0798

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 Vander Wynn's NPI number?

The NPI number for Vander Wynn is 1497866040. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Vander Wynn located?

Vander Wynn practices at 5309 Waterview Dr, North Port, FL 34291. The listed phone number is (239) 261-1158.

What is Vander Wynn's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Vander Wynn enrolled in Medicare?

Yes. Vander 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.

Which organizations bill Medicare for Vander Wynn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vander Wynn reassigns Medicare benefits to 4 organizations: Sheridan Healthcorp Inc (Sarasota, FL), Gulf-To-Bay Anesthesiology Associates LLC (Fort Myers, FL), Davis Memorial Hospital (Elkins, WV) and Medstream Anesthesia PLLC (Richardson, TX). Each 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 Vander Wynn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Vander Wynn accept?

Health plans from Cigna Healthcare list Vander 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 Vander Wynn affiliated with any hospitals?

According to CMS data, Vander Wynn is affiliated with Rutherford Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Vander Wynn was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.