CAROL ANN WYNN
NPI 1750961785
Nurse Practitioner - Family in Berryville, AR
About Carol Ann Wynn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CAROL ANN WYNN (NPI 1750961785) is an individual family provider in Berryville, Arkansas, licensed in Arkansas (214692) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
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
Carol Ann 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 Carol Wynn reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Berryville, AR 72616
- Reassigned Medicare billing, Arkansas enrollment
- 18 clinicians in this Medicare group
Rogers, AR 72758
- Reassigned Medicare billing, Arkansas enrollment
- 472 clinicians in this Medicare group
Dallas, TX 75244
- Reassigned Medicare billing, Arkansas enrollment
- 354 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 10
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 72616 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 16
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 Carol Wynn's NPI number?
The NPI number for Carol Wynn is 1750961785. It was assigned to this individual provider in the NPPES registry on April 13, 2021.
Where is Carol Wynn located?
Carol Wynn practices at 207 Carter St, Berryville, AR 72616. The listed phone number is (870) 438-5216.
What is Carol Wynn's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Carol Wynn enrolled in Medicare?
Yes. Carol 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 Carol Wynn's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carol Wynn reassigns Medicare benefits to 3 organizations: Mercy Clinic Springfield Communities (Berryville, AR), Mercy Health Northwest Arkansas Communities (Rogers, AR) and Signify Health Medical Associates, PLLC (Dallas, 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 Carol Wynn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Carol Wynn accept?
Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Carol 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.
When was this NPI record last updated?
The NPPES record for Carol Wynn was last updated on August 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Carol Ann Wynn · NPI 1750961785
Family physician in Berryville, Arkansas. Individual provider, active in the CMS NPPES registry since April 13, 2021.
## Identity
- **NPI:** 1750961785 (Entity type: Individual)
- **Enumerated:** April 13, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 214692 (Arkansas)
- **Sole proprietor:** No
## Practice location
- **Address:** 207 CARTER ST, Berryville, AR 72616-4303
- **Phone:** (870) 438-5216
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Mercy Clinic Springfield Communities (NPI 1740226091, Berryville, AR); Mercy Health Northwest Arkansas Communities (NPI 1841632817, Rogers, AR); Signify Health Medical Associates, PLLC (NPI 1750845863, Dallas, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** August 5, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1750961785) · Data from the CMS NPPES public registry.