Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1225266513 Individual Practitioner Female Practitioner

Dr. Nancy Jean Wynn , DNP, FNP-BC

Nurse Practitioner • Mcclellan, CA

Professional Overview & Biography Verified Profile Summary

Dr. Nancy Wynn, DNP, FNP-BC is a registered healthcare professional specializing in Nurse Practitioner in Mcclellan, CA. Practice services are available at 5342 DUDLEY BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5342 Dudley Blvd

Mcclellan, CA 956521012

Telephone 9162919742
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Mcclellan, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
2 Specialists

Practicing in Mcclellan, CA (8378 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-02-06
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License CA 17861

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1033134523

Licensed Clinical Social Worker

Clark Lomboy , NP

Nurse Practitioner - Family

NPI 1033507009

Nurse Practitioner

Valerie Christian , FNP

Nurse Practitioner - Family

NPI 1033528963

Family Nurse Practitioner

NPI 1063523306

Master of Science

Dr. Rino Dizon , DO

Family Medicine

NPI 1083882922

Doctor of Osteopathic Medicine (D.O.)

Mae Doctor , NP

Nurse Practitioner - Family

NPI 1104196930

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location February 06, 2024

Registered at 5342 DUDLEY BLVD, MCCLELLAN, CA 956521012 (Tel: 9162919742)

📍
Updated Business Mailing Address February 06, 2024

Registered at PO BOX 1522, ROSEVILLE, CA 956788522 (Tel: 9168859998)

👤
Provider Name / Credentials Updated February 06, 2024

Recorded as NANCY WYNN, DNP, FNP-BC

NPI Profile Active June 25, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location June 25, 2009

Registered at 4500 MONET WAY, GRANITE BAY, CA 957466475 (Tel: 9167080890)

📍
Updated Business Mailing Address June 25, 2009

Registered at 137 N COTTONWOOD ST STE 2500, WOODLAND, CA 956956664 (Tel: 5306668516)

👤
Provider Name / Credentials Updated June 25, 2009

Recorded as NANCY WYNN-GRUNDY, FNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 25, 2009

Nurse Practitioner (License #17861 in CA)

🟢
Initial NPI Registration & Enumeration June 25, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1225266513
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 25, 2009
Last Update: February 06, 2024
Sole Proprietor: No

Mailing Address

Po Box 1522

Roseville, CA 956788522

Phone: 9168859998

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.