AUDREA H II WYNN (M.D.) – Orthopaedic Surgery Physician, NPI 1164409504
Orthopaedic Surgery Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for AUDREA H II WYNN (M.D.)
240, Shenandoah Street, Shenandoah Shopping Center, Woodstock, Shenandoah County, Virginia, 22664, United States
WOODSTOCK, VA 226641051
Phone: (540) 459-1354
Fax: (540) 459-1355
Type: Mailing
1460 UNIVERSITY DR
WINCHESTER, VA 226015100
Phone: (540) 665-5430
Fax: (540) 665-5576
Type: Mailing
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: 2004-08-23
PECOS data refreshed: 2026-06-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040823001510 | I | Orthopedic Surgery | VA | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 22664)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology) | VA | |
| Family Practice | GA | |
| Internal Medicine | PA | |
| General Surgery | PA | |
| Cardiovascular Disease (Cardiology), Internal Medicine | VA | |
| Cardiovascular Disease (Cardiology) | GA | |
| - | VA | |
| Cardiovascular Disease (Cardiology), Internal Medicine | VA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | VA | |
| General Surgery | VA |
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