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WYNTER NIGEL PHOENIX M.D
NPI 1548432974
Surgery in Roseville, CA

Active since March 26, 2008PECOS EnrolledAccepts Medicare Assignment
1211 PLEASANT GROVE BLVD, STE 120, ROSEVILLE, CA 95678(916) 791-8346(916) 791-8833 Get Directions Write a Review

NPPES record last updated: September 6, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 6, 2023, Feb 3, 2021, May 8, 2018 (3 updates tracked since 2018).

About Wynter Nigel Phoenix M.d NPPES

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

WYNTER NIGEL PHOENIX M.D (NPI 1548432974) is an individual surgery provider in Roseville, California, licensed in Nevada (12345) and active in the NPI registry since March 2008. He is enrolled in Medicare PECOS, maintains a secondary practice location in Fernley, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1548432974
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameWYNTER NIGEL PHOENIXCredential: M.D
Location Address1211 PLEASANT GROVE BLVD, STE 120Roseville, CA 95678
Mailing Address1211 Pleasant Grove Blvd, Ste 120Roseville, CA 95678 · (916) 791-8346 · Fax (916) 791-8833
Phone(916) 791-8346
Fax(916) 791-8833
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateMarch 26, 2008
Last NPPES UpdateSeptember 6, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2021
✔ NPI 1548432974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in NV · 12345
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1211 PLEASANT GROVE BLVD, Roseville, CA 95678
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Secondary Practice Location 1

Location 11260 Nevada Pacific BlvdFernley, NV 89408-9871 · Phone (775) 575-7171 · Fax (775) 575-7227

Other Identifiers 2

Other1548432974Npi
Medicaid1548432974NV

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

Wynter Nigel Phoenix 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 ID1456586049
PECOS Enrollment IDI20260227003429
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 Reassignment

Medicare enrollment records show Wynter Phoenix reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Phoenix Horizon Medical Corp
Same address
Surgery
1211 PLEASANT GROVE BLVD STE 120
Roseville, CA 95678
  • Reassigned Medicare billing, California enrollment
NPI 1457167306 (916) 791-8346

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95678 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $37.03)
Most-billed visit code 99213
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 2

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

ROSEVILLE DERMATOLOGY INC.
Dermatology
1211 PLEASANT GROVE BLVD, SUITE 100
ROSEVILLE, CA 95678
Placer County (916) 784-7546
DANIEL LEWIS MONAHAN M.D.
Surgery
1211 PLEASANT GROVE BLVD, STE 120
ROSEVILLE, CA 95678
Placer County (916) 791-8346

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 Wynter Phoenix's NPI number?

The NPI number for Wynter Phoenix is 1548432974. It was assigned to this individual provider in the NPPES registry on March 26, 2008.

Where is Wynter Phoenix located?

Wynter Phoenix practices at 1211 Pleasant Grove Blvd Ste 120, Roseville, CA 95678. The listed phone number is (916) 791-8346.

What is Wynter Phoenix's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Wynter Phoenix enrolled in Medicare?

Yes. Wynter Phoenix 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 organization bills Medicare for Wynter Phoenix's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Wynter Phoenix reassigns Medicare benefits to Phoenix Horizon Medical Corp (Roseville, CA). The 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 Wynter Phoenix's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Wynter Phoenix was last updated on September 6, 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.