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

Wynter Nigel Phoenix, MD

Individual provider Surgery Physician · NPI 1548432974

Wynter Nigel Phoenix, MD is a General Surgery in Roseville, California. Qualified in 1996, 30 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
30
Licensed in
NV
In the registry since
2008
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

1211 Pleasant Grove Blvd Ste 120
Roseville, CA 95678
Phone: (916) 791-8346
Fax: (916) 791-8833
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1260 Nevada Pacific Blvd, Fernley, NV 89408-9871 — (775) 575-7171

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 12345 (NV)

Record details

NPI number1548432974
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 26, 2008
Last updated in NPPESSeptember 6, 2023
Certification dateFebruary 3, 2021
Mailing address1211 Pleasant Grove Blvd, Ste 120, Roseville, CA 95678

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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