SHAWN MICHAEL WYNN
NPI 1750749826
Nurse Anesthetist, Certified Registered in Canton, IL
About Shawn Michael Wynn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHAWN MICHAEL WYNN (NPI 1750749826) is an individual nurse anesthetist, certified registered in Canton, Illinois, licensed in Illinois (209.013769) and active in the NPI registry since February 2016. He is enrolled in Medicare PECOS, is affiliated with Graham Hospital Association, and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Shawn Michael Wynn 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 Reassignments
3Medicare enrollment records show Shawn Wynn reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Canton, IL 61520
- Reassigned Medicare billing, Illinois enrollment
- 6 clinicians in this Medicare group
Monmouth, IL 61462
- Reassigned Medicare billing, Illinois enrollment
- 183 clinicians in this Medicare group
Geneseo, IL 61254
- Reassigned Medicare billing, Illinois enrollment
- 26 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.
Areas of Expertise CMS Part B claims 4
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Graham Hospital Association
Acute Care Hospitals · Canton, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 61520 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
CANTON, IL 61520
CANTON, IL 61520
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 Shawn Wynn's NPI number?
The NPI number for Shawn Wynn is 1750749826. It was assigned to this individual provider in the NPPES registry on February 4, 2016.
Where is Shawn Wynn located?
Shawn Wynn practices at 210 W Walnut St, Canton, IL 61520. The listed phone number is (309) 647-5240.
What is Shawn Wynn's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Shawn Wynn enrolled in Medicare?
Yes. Shawn 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 Shawn Wynn's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shawn Wynn reassigns Medicare benefits to 3 organizations: Graham Hospital Association (Canton, IL), Osf Healthcare System (Monmouth, IL) and Hammond Henry Dist Hospital (Geneseo, IL). 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 Shawn Wynn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shawn Wynn accept?
Health plans from Wellmark Health Plan of Iowa, Inc. list Shawn 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 Shawn Wynn affiliated with any hospitals?
According to CMS data, Shawn Wynn is affiliated with Graham Hospital Association.
When was this NPI record last updated?
The NPPES record for Shawn Wynn was last updated on August 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Shawn Michael Wynn · NPI 1750749826
Nurse Anesthetist, Certified Registered physician in Canton, Illinois. Individual provider, active in the CMS NPPES registry since February 4, 2016.
## Identity
- **NPI:** 1750749826 (Entity type: Individual)
- **Enumerated:** February 4, 2016
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 209.013769 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 210 W WALNUT ST, Canton, IL 61520
- **Phone:** (309) 647-5240
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Graham Hospital Association (NPI 1780692087, Canton, IL); Osf Healthcare System (NPI 1811016124, Monmouth, IL); Hammond Henry Dist Hospital (NPI 1093213308, Geneseo, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** August 13, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1750749826) · Data from the CMS NPPES public registry.