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ELISABETH KRISTINE WYNNE M.D.
NPI 1801159926
Surgery - Pediatric Surgery in Dayton, OH

Active since June 22, 2012PECOS Enrolled
1 CHILDRENS PLZ, DAYTON, OH 45404(937) 641-4000(937) 641-4500 Get Directions Write a Review

NPPES record last updated: November 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 19, 2025, Nov 11, 2025, Oct 11, 2023 and 2 more (5 updates tracked since 2019).

About Elisabeth Kristine Wynne M.d. NPPES

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

ELISABETH KRISTINE WYNNE M.D. (NPI 1801159926) is an individual pediatric surgery provider in Dayton, Ohio, licensed in Ohio (35.142387) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1801159926
Entity TypeIndividualFemale
Primary Taxonomy2086S0120X
Provider Legal NameELISABETH KRISTINE WYNNECredential: M.D.
Location Address1 CHILDRENS PLZDayton, OH 45404-1815
Mailing AddressPo Box 933432Cleveland, OH 44193-0039 · (937) 641-3000
Phone(937) 641-4000
Fax(937) 641-4500
Sole ProprietorNo
Enumeration DateJune 22, 2012
Last NPPES UpdateNovember 19, 20255 updates tracked since enumeration
NPPES CertifiedNovember 19, 2025
✔ NPI 1801159926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
License✔ Licensed in OH · 35.142387
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
1 CHILDRENS PLZ, Dayton, OH 45404
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Secondary Practice Locations 2

Location 13535 Southern BlvdKettering, OH 45429-1221 · Phone (937) 641-3000
Location 23333 W Tech RdMiamisburg, OH 45342-0955 · Phone (937) 641-4000 · Fax (937) 641-6492

Other Identifiers 1

Medicaid0449753OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elisabeth Kristine Wynne M.d. 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.

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.

HEMANTH SHIMOGA LINGADEVARU MD,MPH,FAAP
Pediatrics (Pediatric Critical Care Medicine)
1 CHILDRENS PLZ
DAYTON, OH 45404
Montgomery County (937) 641-3000
TANYA PAUL M.D
Pediatrics (Pediatric Emergency Medicine)
1 CHILDRENS PLZ
DAYTON, OH 45404
Montgomery County (937) 641-3600
NICOLE LYNNE-BENDT SCOTT
Physician Assistant
1 CHILDRENS PLZ
DAYTON, OH 45404
Montgomery County (937) 641-3600
CODY H MCMILLAN
Physician Assistant
1 CHILDRENS PLZ
DAYTON, OH 45404
Montgomery County (937) 641-3000
TANIA MONTENEGRO MS, MPH
Genetic Counselor, MS
1 CHILDRENS PLZ
DAYTON, OH 45404
Montgomery County (937) 641-5923
MS. FAITH ANGELA CALLIF-DALEY M.S.
Genetic Counselor, MS
1 CHILDRENS PLZ, DAYTON CHILDREN'S MEDICAL CENTER
DAYTON, OH 45404
Montgomery County (937) 641-5645
DR. EMMETT H BROXSON JR. MD
Pediatrics (Pediatric Hematology-Oncology)
1 CHILDRENS PLZ
DAYTON, OH 45404
Montgomery County (937) 641-3111
DR. RAMAKRISHNA MUTYALA MD
Pediatrics (Pediatric Gastroenterology)
1 CHILDRENS PLZ
DAYTON, OH 45404
Montgomery County (937) 641-4000

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 Elisabeth Wynne's NPI number?

The NPI number for Elisabeth Wynne is 1801159926. It was assigned to this individual provider in the NPPES registry on June 22, 2012.

Where is Elisabeth Wynne located?

Elisabeth Wynne practices at 1 Childrens Plz, Dayton, OH 45404. The listed phone number is (937) 641-4000.

What is Elisabeth Wynne's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Is Elisabeth Wynne enrolled in Medicare?

Yes. Elisabeth Wynne is registered in the Medicare PECOS enrollment system.

What insurance does Elisabeth Wynne accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Elisabeth Wynne 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 Elisabeth Wynne was last updated on November 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.