Derek Wynn, PA

ActiveIndividual ProviderSpecialty not listed
NPI issued: September 16, 2015

Quick Facts

NPI Number
1043689441
TypeIndividual
StatusActive
SpecialtySpecialty not listed
Taxonomy363AM0700X — Specialty not listed
Phone
(208) 983-1700
StateID

NPI Validation Status: Verified

Valid 10-digit NPI number (1043689441)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (September 16, 2015)
Data source: CMS NPPES

Provider Overview

DEREK WYNN, PA is a Healthcare provider based in Grangeville, ID who has been registered with CMS since 2015. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1043689441
Provider TypeIndividual Provider
GenderMale
CredentialPA
StatusActive
Enumeration DateSeptember 16, 2015

Practice Location

CityGrangeville
StateID
ZIP Code83530
Phone(208) 983-1700

Specialties & Licenses

★ Primary
SpecialtySpecialty not listed
Taxonomy Code363AM0700X
License StateID

Mailing Address

CityGrangeville
StateID
ZIP Code83530
Phone(208) 983-1700
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1043689441 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1043689441for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1043689441 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Specialty not listed

Specialists in Specialty not listed provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

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41,933
Specialty not listed Providers in the US

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People Also Ask

What is Derek Wynn's NPI number?
Derek Wynn's NPI number is 1043689441, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Derek Wynn's NPI currently active?
Yes, Derek Wynn's NPI status is Active as of the latest CMS NPPES database updates.
What does Derek Wynn specialize in?
Derek Wynn specializes in Specialty not listed. The healthcare taxonomy code associated with this specialty is 363AM0700X.
Where does Derek Wynn practice?
Derek Wynn practices in Grangeville, ID 83530.
When was Derek Wynn's NPI issued?
Derek Wynn's NPI was issued on September 16, 2015.
What is Derek Wynn's provider type?
Derek Wynn is registered as an Individual Provider under CMS NPI Type 1.