BRENNA WYNNE (MD) – Emergency Medicine Physician, NPI 1235156258

BRENNA WYNNE (MD) is a healthcare provider. based in Camden, New Jersey. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. MA08014100 (NJ). The NPI Number for BRENNA WYNNE (MD) is 1235156258

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
BRENNA WYNNE (MD)
NPI
1235156258
Phone
(856) 356-4924
Address
1 FEDERAL ST # 200
Enumeration Date
16 July 2006
Last Update Date
10 July 2019

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF PENNSYLVANIA
Secondary Phone
8568740134
Graduation Year
2003 (23 years ago)
PAC ID
8325044118
Group Practice PAC ID
2860644234
Professional Enrollment ID
I20061019000048
Address ID
NJ081061309AU318XXPIKE500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,703 EMERGENCY MEDICINE in NJ

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Provider Addresses for BRENNA WYNNE (MD)

  • 200, Federal Street, Cooper-Grant, Camden, Camden County, New Jersey, 08103, United States

    CAMDEN, NJ 081031088

    Phone: (856) 356-4924

    Type: Mailing

  • 1 Cooper Plaza, Haddon Avenue, Lanning Square, Camden, Camden County, New Jersey, 08103, United States

    COOPER UNIVERISRY EMERGENCY PHYSICIANS

    CAMDEN, NJ 081031461

    Phone: (856) 342-2351

    Fax: (856) 968-8272

    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: 2006-10-19

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
I20061019000048IEmergency MedicineNJTBD

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
99284Emergency department visit with moderate level of medical decision making132121$0
99285Emergency department visit with high level of medical decision making10298$0
99283Emergency department visit with low level of medical decision making3232$0
99291Critical care, first 30-74 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 08103)

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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: 2860644234View full group profile
NameSpecialtyState
Emergency MedicineNJ
Physician AssistantPA
Physician AssistantPA
Emergency MedicinePA
Emergency MedicinePA
Physician AssistantPA
Emergency MedicineNJ
Emergency MedicineNJ
Physician AssistantPA
Nurse PractitionerNJ

Reviews

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Frequently asked questions

How do I look up BRENNA WYNNE (MD) by NPI?
Use NPI 1235156258 when you need to reference BRENNA WYNNE (MD) in forms, claims, or directories.
Is BRENNA WYNNE (MD)'s NPI currently valid?
The extract we use shows BRENNA WYNNE (MD) as active.
Does BRENNA WYNNE (MD) list a primary specialty?
If you are matching referrals, note Emergency Medicine Physician for BRENNA WYNNE (MD). Clinical services aligned with this taxonomy classification.
Does BRENNA WYNNE (MD) practice in New Jersey?
You will see Camden, New Jersey on file for BRENNA WYNNE (MD) alongside any extra practice locations.
What if Camden, New Jersey seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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