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LANETA T WYNN NURSE PRACTITIONER
NPI 1831907765
Nurse Practitioner - Gerontology in Burbank, CA

Active since December 23, 2024PECOS Enrolled
2501 W BURBANK BLVD, BURBANK, CA 91505(877) 929-6863 Get Directions Write a Review

NPPES record last updated: September 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 10, 2025, Dec 23, 2024 (2 updates tracked since 2024).

About Laneta T Wynn Nurse Practitioner NPPES

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

LANETA T WYNN NURSE PRACTITIONER (NPI 1831907765) is an individual gerontology provider in Burbank, California, licensed in California (95030436) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1831907765
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameLANETA T WYNNCredential: NURSE PRACTITIONER
Location Address2501 W BURBANK BLVDBurbank, CA 91505-2347
Mailing Address4715 7th AveLos Angeles, CA 90043-1339 · (323) 397-9383
Phone(877) 929-6863
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateDecember 23, 2024
Last NPPES UpdateSeptember 10, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2025
✔ NPI 1831907765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in CA · 95030436

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Laneta T Wynn Nurse Practitioner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3779080999
PECOS Enrollment IDI20251006003290
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 91505 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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 16

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

NEUROMED ELECTRODIAGNOSTIC INC
Specialist/Technologist, Other (Electroneurodiagnostic)
2501 W BURBANK BLVD, 300
BURBANK, CA 91505
Los Angeles County (818) 557-6455
JOANNA WU FNP
Nurse Practitioner (Family)
2501 W BURBANK BLVD
BURBANK, CA 91505
Los Angeles County (877) 929-6863
BRANDI BLAKES
Nurse Practitioner (Gerontology)
2501 W BURBANK BLVD
BURBANK, CA 91505
Los Angeles County (818) 856-9535
EMILY CHRISTINE ELDRED PA
Physician Assistant
2501 W BURBANK BLVD
BURBANK, CA 91505
Los Angeles County (818) 856-9535
CHRISTOPHER BEUDER
Physician Assistant
2501 W BURBANK BLVD
BURBANK, CA 91505
Los Angeles County (877) 929-6863
WELLA KRISTA B ESPANOL MSN, APRN, FNP-C
Nurse Practitioner (Family)
2501 W BURBANK BLVD
BURBANK, CA 91505
Los Angeles County (818) 856-9535
MEDICAL PRO HEALTH INC
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
2501 W BURBANK BLVD, 300
BURBANK, CA 91505
Los Angeles County (818) 568-0006
BONIFACE O ONUBAH, M.D. INC.
Internal Medicine
2501 W BURBANK BLVD, 308
BURBANK, CA 91505
Los Angeles County (310) 207-5100

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 Laneta Wynn's NPI number?

The NPI number for Laneta Wynn is 1831907765. It was assigned to this individual provider in the NPPES registry on December 23, 2024.

Where is Laneta Wynn located?

Laneta Wynn practices at 2501 W Burbank Blvd, Burbank, CA 91505. The listed phone number is (877) 929-6863.

What is Laneta Wynn's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Laneta Wynn enrolled in Medicare?

Yes. Laneta Wynn is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Laneta Wynn was last updated on September 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.