DR. AUDREY B.R. VANWYLEN M.D.
NPI 1982916896
Family Medicine in Memphis, TN

Q: What is Audrey Vanwylen's NPI number?

The NPI number for Audrey Vanwylen is 1982916896. It was assigned to this individual provider in the NPPES registry on July 8, 2010. The provider is also known as Miss Audrey B Richardson.

Q: What is Audrey Vanwylen's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Audrey Vanwylen was last updated on March 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since July 08, 2010PECOS EnrolledAccepts Medicare Assignment

2861 BROAD AVE, MEMPHIS, TN 38112(901) 701-2520(901) 325-6469 Get Directions Write a Review

NPPES record last updated: March 30, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. Audrey B.r. Vanwylen M.d. NPPES

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

DR. AUDREY B.R. VANWYLEN M.D. (NPI 1982916896) is an individual family medicine provider in Memphis, Tennessee, licensed in Tennessee (50473) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS and is a graduate of University Of Michigan Medical School (2010).

NPPES Registry Identity

NPI1982916896

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. AUDREY B.R. VANWYLENCredential: M.D.

Location Address2861 BROAD AVEMemphis, TN 38112-2903

Mailing Address2595 Central AveMemphis, TN 38104-5905 · (901) 260-8500 · Fax (901) 260-8598

Phone(901) 701-2520

Fax(901) 325-6469

Sole ProprietorNo

Medical School CMSUniversity Of Michigan Medical SchoolGraduated 2010

Enumeration DateJuly 8, 2010

Last NPPES UpdateMarch 30, 2015

✔ NPI 1982916896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in TN · 50473

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 4301096247 (MI)

2861 BROAD AVE, Memphis, TN 38112

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Other Names 1

Former Name (1)Miss Audrey B Richardson

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama and more.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

Dr. Audrey B.r. Vanwylen M.d. 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 ID1759515612

PECOS Enrollment IDI20131008000792

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.

Medicare Billing Reassignment

Medicare enrollment records show Audrey Vanwylen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Christ Community Health Services Inc

Same address

Federally Qualified Health Center (FQHC)

2861 BROAD AVENUE, CHRIST COMMUNITY HEALTH SERVICES,INC
Memphis, TN 38112

Reassigned Medicare billing, Tennessee enrollment
101 clinicians in this Medicare group

NPI 1952562696 (901) 260-8450

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 38112 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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 20

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

DR. ANDREW BUCHMAN NEARN M.D.

Pediatrics