TERRY L WILDER (APRN) – Nurse Practitioner, NPI 1518906072

TERRY L WILDER (APRN) is a healthcare provider. based in Orlando, Florida. specializing in Nurse Practitioner. They hold the professional credentials APRN. They hold a License No. APRN1708892 (FL). The NPI Number for TERRY L WILDER (APRN) is 1518906072

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
TERRY L WILDER (APRN)
NPI
1518906072
Phone
(407) 647-3960
Address
1707 N MILLS AVE
Enumeration Date
6 June 2006
Last Update Date
8 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4078305577
Graduation Year
1993 (33 years ago)
PAC ID
7416051875
Group Practice PAC ID
4688007495
Professional Enrollment ID
I20090320000532
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for TERRY L WILDER (APRN)

  • 1707 N MILLS AVE

    ORLANDO, FL 328031851

    Phone: (407) 647-3960

    Fax: (407) 647-3960

    Type: Mailing

  • 1707, Mills Avenue, Orlando, Orange County, Florida, 32806, United States

    ORLANDO, FL 328031851

    Phone: (407) 647-3960

    Fax: (407) 830-4164

    Type: Location

  • 685, Palm Springs Drive, Altamonte Springs, Seminole County, Florida, 32701, United States

    STE 2A

    ALTAMONTE SPRINGS, FL 327017853

    Phone: (407) 830-5577

    Fax: (407) 830-4164

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 296 Open Payments records for all available years, with a total value of $6,420.

Total Amount is formed as General ($6,420) + Research ($0) + Ownership ($0) = $6,420.

Last reported payment date: 2024-12-26 • Largest payer in this snapshot: ViiV Healthcare Company ($2,782).

Total Amount

$6,420

General + Research + Ownership

Payments

296

Total payment records

General Amount

$6,420

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-26

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2009-03-20

PECOS data refreshed: 2026-05-27

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
I20090320000532INurse PractitionerFLTBD

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 32803)

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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: 4688007495View full group profile

Reviews

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Frequently asked questions

What is the registry number for TERRY L WILDER (APRN)?
The registry entry for TERRY L WILDER (APRN) shows NPI 1518906072.
Is TERRY L WILDER (APRN)'s NPI status active today?
Active status means TERRY L WILDER (APRN)'s NPI record is not deactivated in the public file.
What services align with TERRY L WILDER (APRN)'s listing?
TERRY L WILDER (APRN)'s public classification highlights Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What city is tied to TERRY L WILDER (APRN)?
The directory associates TERRY L WILDER (APRN) with Orlando, Florida. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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