Carol Ann Wynn, - Medicare Nurse Practitioner in Berryville, AR

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Carol Ann Wynn, is a medicare enrolled "Nurse Practitioner - Family" in Berryville, Arkansas. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mercy Health Northwest Arkansas Communities and her current practice location is 207 Carter St, Berryville, Arkansas. You can reach out to her office (for appointments etc.) via phone at (870) 438-5216.

Carol Ann Wynn is licensed to practice in Arkansas (license number 214692) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1750961785.

Contact Information

Carol Ann Wynn,
207 Carter St,
Berryville, AR 72616-4303
(870) 438-5216
Not Available

Map and Direction




Provider's Profile

Full NameCarol Ann Wynn
GenderFemale
SpecialityNurse Practitioner
Experience4 Years
Location207 Carter St, Berryville, Arkansas
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Carol Ann Wynn graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1750961785
  • Provider Enumeration Date: 04/13/2021
  • Last Update Date: 08/05/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1850793837
  • Enrollment ID: I20210713003411

Medical Identifiers

Medical identifiers for Carol Ann Wynn such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750961785NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 2021004782 (Missouri)Secondary
363LF0000XNurse Practitioner - Family 214692 (Arkansas)Primary
163W00000XRegistered Nurse R072762 (Arkansas)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mercy Hospital BerryvilleBerryville, ARHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mercy Health Northwest Arkansas Communities0648177873269

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. Carol Ann Wynn allows following entities to bill medicare on her behalf.
Entity NameMercy Health Northwest Arkansas Communities
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265490916
PECOS PAC ID: 0648177873
Enrollment ID: O20031216000788
Entity NameBoston Mountain Rural Health Center, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720096027
PECOS PAC ID: 3870401722
Enrollment ID: O20040701000737
Entity NameMercy Clinic Springfield Communities
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720022510
PECOS PAC ID: 7416865845
Enrollment ID: O20090626000412
Entity NameSignify Health Medical Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750845863
PECOS PAC ID: 2163764424
Enrollment ID: O20190913002365

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. Carol Ann 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 AddressPractice Location Address
Carol Ann Wynn,
207 Carter St,
Berryville, AR 72616-4303

Ph: (870) 438-5216		Carol Ann Wynn,
207 Carter St,
Berryville, AR 72616-4303

Ph: (870) 438-5216

Reviews and Comments


Nurse Practitioner Nurses in Berryville, AR

Cathy Barker-brown, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 207 Carter St, Berryville, AR 72616
Phone: 870-423-5661    
Victoria Jones, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1008 W Trimble Ave, Berryville, AR 72616
Phone: 888-912-6742    Fax: 866-493-3688
Taesha Cybille Nicole Winford, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 408 Orchard Dr, Berryville, AR 72616
Phone: 870-423-2320    Fax: 870-423-7431

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.