LANETA T WYNN NURSE PRACTITIONER
NPI 1831907765
Nurse Practitioner - Gerontology in Burbank, CA
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Laneta T Wynn Nurse Practitioner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Laneta Wynn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Burbank, CA 91506
- Reassigned Medicare billing, California enrollment
- 50 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 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.
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.
BURBANK, CA 91505
BURBANK, CA 91505
BURBANK, CA 91505
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.
Which organization bills Medicare for Laneta Wynn's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Laneta Wynn reassigns Medicare benefits to West Coast Wound And Skin Care Inc (Burbank, 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 Laneta Wynn'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 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 13 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.
# Laneta T Wynn, NURSE PRACTITIONER · NPI 1831907765
Gerontology physician in Burbank, California. Individual provider, active in the CMS NPPES registry since December 23, 2024.
## Identity
- **NPI:** 1831907765 (Entity type: Individual)
- **Enumerated:** December 23, 2024
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** 95030436 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2501 W BURBANK BLVD, Burbank, CA 91505-2347
- **Phone:** (877) 929-6863
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** West Coast Wound And Skin Care Inc (NPI 1437675980, Burbank, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** September 10, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1831907765) · Data from the CMS NPPES public registry.