ALEXANDER WRYNN (FNP-C) – Family Nurse Practitioner, NPI 1194207902

ALEXANDER WRYNN (FNP-C) is a healthcare provider. based in Coraopolis, Pennsylvania. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. SP021422 (PA). The NPI Number for ALEXANDER WRYNN (FNP-C) is 1194207902

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
ALEXANDER WRYNN (FNP-C)
NPI
1194207902
Phone
Not provided
Address
105 SHIPPEN DR
Enumeration Date
29 August 2018
Last Update Date
22 November 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4123593683
Graduation Year
2018 (8 years ago)
PAC ID
5496099699
Group Practice PAC ID
5395649586
Professional Enrollment ID
I20200317000197
Address ID
PA152124746PI420XXAVEX409
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:7State licenses:2Digital endpointsOther names

17,004 NURSE PRACTITIONER in NY

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Provider Addresses for ALEXANDER WRYNN (FNP-C)

  • 105 SHIPPEN DR

    CORAOPOLIS, PA 151082622

    Phone:

    Type: Mailing

  • Weill Cornell Medical College, 525, East 68th Street, Lenox Hill, Manhattan Community Board 8, Manhattan, New York County, New York, 10021, United States

    NEW YORK, NY 100654870

    Phone: (212) 746-5454

    Type: Location

  • 420 E NORTH AVE STE 406

    PITTSBURGH, PA 152124746

    Phone: (412) 359-3683

    Fax: (412) 359-3373

    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: 2020-03-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20181128003032INurse PractitionerNYTBD
I20200317000197INurse PractitionerPATBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes8551$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2928$0
View full utilization report →

Insurance plans in this area (ZIP 15108)

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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: 5395649586View full group profile
NameSpecialtyState
-PA
Radiation OncologyPA
Nurse PractitionerPA
Nurse PractitionerPA
Critical Care (Intensivists), General SurgeryPA
Physician AssistantPA
O B S T E T R I C S/ G Y N E C O L O G YPA
A N E S T H E S I O L O G YPA
-PA
-PA

Reviews

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Frequently asked questions

Can I verify ALEXANDER WRYNN (FNP-C) with an NPI only?
You can start verification with NPI 1194207902 for ALEXANDER WRYNN (FNP-C), then check state licensing separately.
Does CMS list ALEXANDER WRYNN (FNP-C) as active?
Yes — ALEXANDER WRYNN (FNP-C) is active in the NPI listing used on this page.
What is ALEXANDER WRYNN (FNP-C)'s primary classification?
Family Nurse Practitioner is the headline specialty for ALEXANDER WRYNN (FNP-C) here. Clinical services aligned with this taxonomy classification.
Does ALEXANDER WRYNN (FNP-C) list a practice location?
Patients near Coraopolis, Pennsylvania may find ALEXANDER WRYNN (FNP-C) in results; validate coverage separately.
Is the information about ALEXANDER WRYNN (FNP-C) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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