JENNIFER WYNN ARNP NPI 1750546537

NPI Information

  • NPI: 1750546537
  • Provider Name: JENNIFER WYNN, ARNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 200 NE MOTHER JOSEPH PL STE 300
    VANCOUVER, WA
    ZIP 98664
  • Phone: (360) 254-6161

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NPI Details

Jennifer Wynn, ARNP is a family nurse practitioner in Vancouver, WA with 17 years of experience. Jennifer Wynn, ARNP NPI is 1750546537. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

200 NE MOTHER JOSEPH PL STE 300
VANCOUVER, WA
ZIP 98664
Phone: (360) 254-6161
Fax: (360) 449-1146

The NPI 1750546537 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment (HCPCS:63047)
  • Follow-up hospital inpatient care per day, typically 15 minutes (HCPCS:99231)
  • Initial hospital inpatient care per day, typically 30 minutes (HCPCS:99221)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)

The enumeration date for this NPI number is 7/22/2008 and was last updated on 8/7/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered Nurse00157320WASHINGTONNo
2163W00000XRegistered Nurse200240758RNOREGONNo
3363LF0000XNurse PractitionerFamily200950128NPOREGONNo
4363LF0000XNurse PractitionerFamilyAP60107358WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10255099OTHERWASHINGTONLABOR & INDUSTRIES
29662735MEDICAIDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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