Active NPI 1619239050 Individual Practitioner Female Practitioner

Dr. Kathryn E. Wynne , MD

Pediatrics • Worcester, MA

Professional Overview & Biography Verified Profile Summary

Dr. Kathryn Wynne, MD is a registered healthcare professional specializing in Pediatrics in Worcester, MA. Practice services are available at 55 LAKE AVE N under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

55 Lake Ave N

Worcester, MA 016550002

Telephone 5083341000

Fax 7744437989

Associated Practice Facility / Clinic

🏢 Umass Memorial Medical Center Facility NPI 1679574933

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Worcester, MA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 14.2 Yrs

State Avg: 25.7 Yrs

Regional Practice Density

118 Specialists

Practicing in Worcester, MA (2760 Statewide)

Telehealth Adoption Rate

0.8% 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: 2026-07-08

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MA 262384

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

110103143A (MA)

Commercial Insurance / Payer ID Medicare

S400226313 (MA)

Practice Associates & Co-Workers

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

40 Associated Practitioners

Stacy Meulenaere , OTR, L

Occupational Therapist

NPI 1003096660

Occupational Therapist Registered, L

Dr. Yoonyie Cho , MD

Anesthesiology

NPI 1003253675

Doctor of Medicine (M.D.)

Dr. Max Hazeltine , MD

Student in an Organized Health Care Education/Training Program

NPI 1003347568

Doctor of Medicine (M.D.)

Dr. Irma Hashmi , DO

Internal Medicine - Gastroenterology

NPI 1003348137

Doctor of Osteopathic Medicine (D.O.)

Baylee Arnold

Emergency Medicine

NPI 1003495300

Dr. Julia Waldman , DO

Student in an Organized Health Care Education/Training Program

NPI 1003510058

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active May 25, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location May 25, 2017

Registered at 55 LAKE AVE N, WORCESTER, MA 016550002 (Tel: 7744423713)

📍

Updated Business Mailing Address May 25, 2017

Registered at PO BOX 415348, BOSTON, MA 022415348 (Tel: 8002258885)

👤

Provider Name / Credentials Updated May 25, 2017

Recorded as KATHRYN WYNNE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 25, 2017

Pediatrics (License #262384 in MA)

✅

NPI Profile Active April 15, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location April 15, 2015

Registered at 55 LAKE AVE N, WORCESTER, MA 016550002 (Tel: 7744423713)

📍

Updated Business Mailing Address April 15, 2015

Registered at PO BOX 415348, BOSTON, MA 022415348 (Tel: 8002258885)

👤

Provider Name / Credentials Updated April 15, 2015

Recorded as KATHRYN WYNNE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 15, 2015

Pediatrics (License #262384 in MA)

🟢

Initial NPI Registration & Enumeration June 12, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Kathryn Wynne. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1619239050

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 12, 2012

Last Update: July 08, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 415348

Boston, MA 022415348

Phone: 8002258885

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.