Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Donraphael Wynn, MD

Individual provider Ophthalmology Physician · NPI 1396188751

Donraphael Wynn, MD is a Neurology in Boise, Idaho. Graduated from University of Iowa, Rj & L Carver College of Medicine in 2013, 13 years ago. Practices with Saint Alphonsus Regional Medical Center Inc, a 673-clinician group and accepts Medicare assignment. Licensed in Idaho and Utah.

Years since qualifying
13
Trained at
University of Iowa, Rj & L Carver College of Medicine
Licensed in
ID, UT
In the registry since
2013
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1072 N Liberty St Ste 303
Boise, ID 83704
Phone: (208) 302-4200
Fax: (208) 302-4255
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence M-14403 (ID)
Ophthalmology Physician Taxonomy 207W00000X · Licence 9164199-1205 (UT)
Neuro-ophthalmology Physician Taxonomy 207WX0109X · Licence 9164199-1205 (UT)

Record details

NPI number1396188751
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 16, 2013
Last updated in NPPESNovember 13, 2025
Certification dateNovember 13, 2025
Mailing address3340 E Goldstone Way, Meridian, ID 83642

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEUROLOGY
Also practisesOPHTHALMOLOGY
Medical schoolUNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice Saint Alphonsus Regional Medical Center Inc — 673 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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