RENAN WILDING – Anesthesiologist Assistant, NPI 1366966269

RENAN WILDING is a healthcare provider. based in Sunrise, Florida. specializing in ANESTHESIOLOGY ASSISTANT. The NPI Number for RENAN WILDING is 1366966269

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
RENAN WILDING
NPI
1366966269
Phone
(954) 980-8420
Address
15915 SW 2ND ST
Enumeration Date
1 August 2017
Last Update Date
1 August 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3056827000
Graduation Year
2017 (9 years ago)
PAC ID
6002174141
Group Practice PAC ID
3173429693
Professional Enrollment ID
I20171220000307
Address ID
FL331801407MI20900BLVD300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience21
Completeness75
Years active:8State licenses:0Digital endpointsOther names

936 ANESTHESIOLOGY ASSISTANT in FL

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Provider Addresses for RENAN WILDING

  • 15915, Southwest 2nd Street, Sunrise, Broward County, Florida, 33326, United States

    SUNRISE, FL 333262245

    Phone: (954) 980-8420

    Type: Mailing

  • Aventura Hospital and Medical Center, 20900, Biscayne Boulevard, Aventura, Miami-Dade County, Florida, 33180, United States

    AVENTURA, FL 331801407

    Phone: (305) 682-7000

    Type: Location

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: 2017-12-20

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20171220000307IAnesthesiology AssistantFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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 33326)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3173429693View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)FL
-FL
A N E S T H E S I O L O G YFL
-FL
Certified Registered Nurse Anesthetist (Crna)FL
-FL
A N E S T H E S I O L O G YFL
-FL
Certified Registered Nurse Anesthetist (Crna)FL
A N E S T H E S I O L O G YFL

Reviews

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Frequently asked questions

Where can patients find RENAN WILDING's NPI?
You can confirm RENAN WILDING with NPI 1366966269; it appears in the national provider directory.
Is RENAN WILDING active in the national directory?
RENAN WILDING's public NPI profile is in an active state.
What does RENAN WILDING treat or focus on?
Patients typically see RENAN WILDING under the specialty Anesthesiologist Assistant. Clinical services aligned with this taxonomy classification.
What location shows for RENAN WILDING?
We surface Sunrise, Florida for RENAN WILDING based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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