CAROLYN MARIE WYATT WHNP
NPI 1659699569
Nurse Practitioner - Obstetrics & Gynecology in Ukiah, CA
About Carolyn Marie Wyatt Whnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CAROLYN MARIE WYATT WHNP (NPI 1659699569) is an individual obstetrics & gynecology provider in Ukiah, California, licensed in California (19773) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses
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
Carolyn Marie Wyatt Whnp 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.
Medicare Billing Reassignment
Medicare enrollment records show Carolyn Wyatt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Ukiah, CA 95482
- Reassigned Medicare billing, California enrollment
- 121 clinicians in this Medicare group
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 95482 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
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 Carolyn Wyatt's NPI number?
The NPI number for Carolyn Wyatt is 1659699569. It was assigned to this individual provider in the NPPES registry on May 17, 2010.
Where is Carolyn Wyatt located?
Carolyn Wyatt practices at 333 Laws Ave, Ukiah, CA 95482. The listed phone number is (707) 468-1010.
What is Carolyn Wyatt's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Obstetrics & Gynecology, with taxonomy code 363LX0001X.
Is Carolyn Wyatt enrolled in Medicare?
Yes. Carolyn Wyatt 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 Carolyn Wyatt's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carolyn Wyatt reassigns Medicare benefits to Mendocino Community Health Clinic, Inc. (Ukiah, 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 Carolyn Wyatt'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 Carolyn Wyatt was last updated on May 17, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Carolyn Marie Wyatt, WHNP · NPI 1659699569
Obstetrics & Gynecology physician in Ukiah, California. Individual provider, active in the CMS NPPES registry since May 17, 2010.
## Identity
- **NPI:** 1659699569 (Entity type: Individual)
- **Enumerated:** May 17, 2010
- **Primary specialty:** Nurse Practitioner - Obstetrics & Gynecology · taxonomy 363LX0001X
- **State license:** 19773 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 333 LAWS AVE, Ukiah, CA 95482-6540
- **Phone:** (707) 468-1010 · **Fax:** (707) 468-7958
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Mendocino Community Health Clinic, Inc. (NPI 1811958952, Ukiah, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** May 17, 2010
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Source: [NPI Profile](https://npiprofile.com/npi/1659699569) · Data from the CMS NPPES public registry.