Natalie Rae Wynn, APRN is a medicare enrolled "Nurse Practitioner" physician in Las Vegas, Nevada. Her current practice location is
6120 S Fort Apache Rd Ste 100, Las Vegas, Nevada. You can reach out to her office (for appointments etc.) via phone at
(702) 848-4443.
Natalie Rae Wynn is licensed to practice in Nevada (license number 815950) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1407487077.
Physician's Profile
| Full Name | Natalie Rae Wynn |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner |
|---|
| Location | 6120 S Fort Apache Rd Ste 100, Las Vegas, Nevada |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1407487077
- Provider Enumeration Date: 01/31/2020
- Last Update Date: 01/13/2026
Medicare PECOS Information:
- PECOS PAC ID: 4587052444
- Enrollment ID: I20230627000500
Medical Identifiers
Medical identifiers for Natalie Rae Wynn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1407487077 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207LP2900X | Anesthesiology - Pain Medicine | 815950 (Nevada) | Secondary |
| 163WP0000X | Registered Nurse - Pain Management | RN46729 (Nevada) | Secondary |
| 207LA0401X | Anesthesiology - Addiction Medicine | 815950 (Nevada) | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | 815950 (Nevada) | Secondary |
| 207L00000X | Anesthesiology | 815950 (Nevada) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 815950 (Nevada) | Secondary |
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | 815950 (Nevada) | Secondary |
| 363L00000X | Nurse Practitioner | 815950 (Nevada) | Primary |
| 2083A0300X | Preventive Medicine - Addiction Medicine | 815950 (Nevada) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | 815950 (Nevada) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Natalie Rae Wynn allows following entities to bill medicare on her behalf.
| Entity Name | Lipshutz & Wills Medical Group Llp |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1568740041
PECOS PAC ID: 8921279837
Enrollment ID: O20110927000107 |
|---|
| Entity Name | Doctors Center At Red Rock Capobianco Pllc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1942688932
PECOS PAC ID: 6204156763
Enrollment ID: O20150522002076 |
|---|
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Natalie Rae Wynn is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Natalie Rae Wynn, APRN
6120 S Fort Apache Rd Ste 100,
Las Vegas, NV 89148-6760
Ph: (702) 948-8660 | Natalie Rae Wynn, APRN
6120 S Fort Apache Rd Ste 100,
Las Vegas, NV 89148-6760
Ph: (702) 848-4443 |
Reviews and Comments