BRIANNA WYNNE (MD) – Geriatric Medicine (Family Medicine) Physician, NPI 1124559455

BRIANNA WYNNE (MD) is a healthcare provider. based in Winter park, Florida. specializing in GERIATRIC MEDICINE, FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. ME147648 (FL). The NPI Number for BRIANNA WYNNE (MD) is 1124559455

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
BRIANNA WYNNE (MD)
NPI
1124559455
Phone
(407) 599-6060
Address
133 BENMORE DR STE 200
Enumeration Date
27 March 2017
Last Update Date
1 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4072002700
Graduation Year
2016 (10 years ago)
PAC ID
1658610977
Group Practice PAC ID
0749186153
Professional Enrollment ID
I20210610000269
Address ID
FL327517102MA2600XLNXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:9State licenses:1Digital endpointsOther names

358 GERIATRIC MEDICINE in FL

Provider Addresses for BRIANNA WYNNE (MD)

  • 133 BENMORE DR STE 200

    WINTER PARK, FL 327924111

    Phone: (407) 599-6060

    Fax: (407) 646-7747

    Type: Mailing

  • PO BOX 100107

    GAINESVILLE, FL 326100107

    Phone:

    Type: Mailing

  • W180N8000 Town Hall Rd

    Menomonee Falls, WI 530514002

    Phone: (262) 532-3265

    Type: Location

  • 1600 SW Archer Rd

    Gainesville, FL 326104002

    Phone: (352) 294-5800

    Type: Location

  • W180N8000 TOWN HALL RD

    MENOMONEE FALLS, WI 530514002

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $105.

Total Amount is formed as General ($105) + Research ($0) + Ownership ($0) = $105.

Last reported payment date: 2024-11-02 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($87).

Total Amount

$105

General + Research + Ownership

Payments

2

Total payment records

General Amount

$105

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-02

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-06-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210610000269IGeriatric MedicineFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes218173$0
36415Insertion of needle into vein for collection of blood sample173136$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes13745$0
99213Established patient office or other outpatient visit, 20-29 minutes9687$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes9257$0
View full utilization report →

Insurance plans in this area (ZIP 32792)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0749186153View full group profile
NameSpecialtyState
Physician AssistantFL
N E U R O L O G YFL
General SurgeryFL
Cardiovascular Disease (Cardiology), Internal Medicine, Interventional CardiologyFL
Nurse PractitionerFL
O B S T E T R I C S/ G Y N E C O L O G YFL
General SurgeryFL
Pulmonary Disease, Critical Care (Intensivists)FL
O B S T E T R I C S/ G Y N E C O L O G YMI
Physician AssistantFL

Reviews

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Frequently asked questions

How do I look up BRIANNA WYNNE (MD) by NPI?
Use NPI 1124559455 when you need to reference BRIANNA WYNNE (MD) in forms, claims, or directories.
Is BRIANNA WYNNE (MD) currently active in the NPI registry?
CMS-published data lists BRIANNA WYNNE (MD) as an active registrant.
What does BRIANNA WYNNE (MD) treat or focus on?
Patients typically see BRIANNA WYNNE (MD) under the specialty Geriatric Medicine (Family Medicine) Physician. Clinical services aligned with this taxonomy classification.
Where does public data place BRIANNA WYNNE (MD)?
The snapshot lists Winter Park, Florida for BRIANNA WYNNE (MD); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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