MATTHEW STEVEN WYNN (CRNA) – Certified Registered Nurse Anesthetist, NPI 1306453089

MATTHEW STEVEN WYNN (CRNA) is a healthcare provider. based in Harlan, Kentucky. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 1136040 (KY). The NPI Number for MATTHEW STEVEN WYNN (CRNA) is 1306453089

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
MATTHEW STEVEN WYNN (CRNA)
NPI
1306453089
Phone
(606) 573-8100
Address
81 Ball Park Rd
Enumeration Date
28 September 2020
Last Update Date
26 January 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8592526612
Graduation Year
2020 (6 years ago)
PAC ID
3274947718
Group Practice PAC ID
5092627521
Professional Enrollment ID
I20210125002695
Address ID
KY405083008LE310XXLIME300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:5State licenses:2Digital endpointsOther names

1,371 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in KY

Provider Addresses for MATTHEW STEVEN WYNN (CRNA)

  • 81 Ball Park Rd

    Harlan, KY 408311701

    Phone: (606) 573-8100

    Type: Location

  • 214 Hospital Rd

    Whitesburg, KY 418587627

    Phone: (606) 633-3500

    Type: Location

  • 3600 Cumberland Ave

    Middlesboro, KY 409652614

    Phone: (606) 242-1100

    Type: Location

  • 222 SEIBERS RD

    CLOSPLINT, KY 409275842

    Phone: (606) 505-0780

    Type: Mailing

  • 6965 CUMBERLAND GAP PKWY

    HARROGATE, TN 377528245

    Phone: (423) 869-3611

    Type: Location

  • 425 LEWIS HARGETT CIR

    LEXINGTON, KY 405033590

    Phone: (859) 268-1030

    Fax: (859) 269-4120

    Type: Mailing

  • 100 MEDICAL CENTER DR

    HAZARD, KY 417019421

    Phone: (506) 439-6600

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2021-01-25

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
I20210125002695ICertified Registered Nurse Anesthetist (Crna)KYTBD

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
00142Anesthesia for lens surgery2929$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1313$0
00813Anesthesia for procedure on small and large bowel using an endoscope1111$0
View full utilization report →

Insurance plans in this area (ZIP 40831)

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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: 5092627521View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)KY
Certified Registered Nurse Anesthetist (Crna)KY
Certified Registered Nurse Anesthetist (Crna)KY
A N E S T H E S I O L O G YKY
Certified Registered Nurse Anesthetist (Crna)KY
-KY
-KY
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)KY
Certified Registered Nurse Anesthetist (Crna)KY

Reviews

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Frequently asked questions

Can I verify MATTHEW STEVEN WYNN (CRNA) with an NPI only?
You can start verification with NPI 1306453089 for MATTHEW STEVEN WYNN (CRNA), then check state licensing separately.
Is MATTHEW STEVEN WYNN (CRNA) listed as active for patients and plans?
The listing shows MATTHEW STEVEN WYNN (CRNA) as active in the NPI system.
What taxonomy line describes MATTHEW STEVEN WYNN (CRNA)?
For research purposes, treat MATTHEW STEVEN WYNN (CRNA) as Certified Registered Nurse Anesthetist in this dataset. Clinical services aligned with this taxonomy classification.
Does MATTHEW STEVEN WYNN (CRNA) list a practice location?
Patients near Harlan, Kentucky may find MATTHEW STEVEN WYNN (CRNA) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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