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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MARIE WYNN APRN
NPI 1861157695
Nurse Practitioner - Psychiatric/Mental Health in Jacksonville, TX

Active since November 06, 2021PECOS Enrolled
1101 COLLEGE AVE, JACKSONVILLE, TX 75766(903) 586-0237 Get Directions Write a Review

NPPES record last updated: September 20, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 20, 2026, Nov 6, 2021 (2 updates tracked since 2021).

About Marie Wynn Aprn NPPES

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

MARIE WYNN APRN (NPI 1861157695) is an individual psychiatric/mental health provider in Jacksonville, Texas, licensed in Texas (1140832) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Dallas, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1861157695
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMARIE WYNNCredential: APRN
Location Address1101 COLLEGE AVEJacksonville, TX 75766
Mailing Address620 Houston StTimpson, TX 75975-5332 · (940) 768-9346
Phone(903) 586-0237
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateNovember 6, 2021
Last NPPES UpdateSeptember 20, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 20, 2026
✔ NPI 1861157695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in TX · 1140832
Also ListedRegistered Nurse · EmergencyTaxonomy 163WE0003X · License 935247 (TX)
1101 COLLEGE AVE, Jacksonville, TX 75766
Open in Google Maps ↗

Secondary Practice Location 1

Location 17808 Clodus Fields DrDallas, TX 75251-2206 · Phone (214) 764-7986 · Fax (214) 774-5824

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Marie Wynn Aprn 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.

PECOS PAC ID3173962115
PECOS Enrollment IDI20240423003398
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.

Areas of Expertise CMS Part B claims

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
24 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75766 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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 Marie Wynn's NPI number?

The NPI number for Marie Wynn is 1861157695. It was assigned to this individual provider in the NPPES registry on November 6, 2021.

Where is Marie Wynn located?

Marie Wynn practices at 1101 College Ave, Jacksonville, TX 75766. The listed phone number is (903) 586-0237.

What is Marie Wynn's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Marie Wynn enrolled in Medicare?

Yes. Marie 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.

What insurance does Marie Wynn accept?

Health plans from Blue Cross and Blue Shield of Texas list Marie 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 Marie Wynn was last updated on September 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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.