JODI M KINTZLE-WYNN APRN
NPI 1629259817
Nurse Practitioner - Family in Omaha, NE

Q: What is Jodi Kintzle-wynn's NPI number?

The NPI number for Jodi Kintzle-wynn is 1629259817. It was assigned to this individual provider in the NPPES registry on November 16, 2007. The provider is also known as Jodi M Kintzle.

Q: What is Jodi Kintzle-wynn's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Jodi Kintzle-wynn was last updated on June 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 November 16, 2007PECOS Enrolled

4920 SO 30TH STREET, SUITE 103, OMAHA, NE 68107(402) 734-4110(402) 734-3990 Get Directions Write a Review

NPPES record last updated: June 9, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jodi M Kintzle-wynn Aprn NPPES

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

JODI M KINTZLE-WYNN APRN (NPI 1629259817) is an individual family provider in Omaha, Nebraska, licensed in Nebraska (110903) and active in the NPI registry since November 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629259817

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJODI M KINTZLE-WYNNCredential: APRN

Location Address4920 SO 30TH STREET, SUITE 103Omaha, NE 68107-1656

Mailing Address4920 So 30th Street, Suite 103Omaha, NE 68107-1656 · (402) 734-4110 · Fax (402) 734-3990

Phone(402) 734-4110

Fax(402) 734-3990

Sole ProprietorNo

Enumeration DateNovember 16, 2007

Last NPPES UpdateJune 9, 2014

✔ NPI 1629259817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NE · 110903

4920 SO 30TH STREET, Omaha, NE 68107

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Other Names 1

Other Name (5)Jodi M Kintzle

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jodi M Kintzle-wynn Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68107 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

$81.20 typical visit price

range $52.69 – $160.21

Typical copayment $20.30 (range $13.17 – $40.05)

Most-billed visit code 99203

Established Patient

$93.55 typical visit price

range $16.90 – $131.25

Typical copayment $23.38 (range $4.22 – $32.81)

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 2

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

CAITLIN RENN MD

Pediatrics

4920 SO 30TH STREET, SUITE 103
OMAHA, NE 68107

Douglas County (402) 734-4110

JESSICA DOWNES PHARMD

Pharmacist

4920 SO 30TH STREET, SUITE 103
OMAHA, NE 68107

Douglas County (402) 734-4110

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 Jodi Kintzle-wynn's NPI number?

The NPI number for Jodi Kintzle-wynn is 1629259817. It was assigned to this individual provider in the NPPES registry on November 16, 2007. The provider is also known as Jodi M Kintzle.

Where is Jodi Kintzle-wynn located?

Jodi Kintzle-wynn practices at 4920 So 30th Street Suite 103, Omaha, NE 68107. The listed phone number is (402) 734-4110.

What is Jodi Kintzle-wynn's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jodi Kintzle-wynn enrolled in Medicare?

Yes. Jodi Kintzle-wynn is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jodi Kintzle-wynn was last updated on June 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.