JESSICA A WILDE (AUD) – Audiologist, NPI 1093446239

JESSICA A WILDE (AUD) is a healthcare provider. based in Sterling, Illinois. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials AUD. They hold a License No. 147001884 (IL). The NPI Number for JESSICA A WILDE (AUD) is 1093446239

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA A WILDE (AUD)
NPI
1093446239
Phone
(815) 625-4790
Address
101 E MILLER RD
Enumeration Date
20 June 2022
Last Update Date
6 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8156254790
Graduation Year
2022 (4 years ago)
PAC ID
4880076280
Group Practice PAC ID
6103723267
Professional Enrollment ID
I20220802001307
Address ID
IL610811252ST101XXRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness85
Years active:3State licenses:1Digital endpointsOther names

401 QUALIFIED AUDIOLOGIST in IL

Provider Addresses for JESSICA A WILDE (AUD)

  • 101 E MILLER RD

    STERLING, IL 610811252

    Phone: (815) 625-4790

    Mailing address matches the actual address.

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: 2022-08-02

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
I20220802001307IQualified AudiologistILTBD

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 61081)

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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: 6103723267View full group profile

Reviews

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Frequently asked questions

Can I cross-check JESSICA A WILDE (AUD) using NPI 1093446239?
NPI 1093446239 belongs to JESSICA A WILDE (AUD); compare other details if you need extra assurance.
Is JESSICA A WILDE (AUD) still an active registrant?
JESSICA A WILDE (AUD) carries an active NPI according to the public dataset.
What area of care is associated with JESSICA A WILDE (AUD)?
JESSICA A WILDE (AUD)'s record emphasizes Audiologist. Clinical services aligned with this taxonomy classification.
What locale is associated with JESSICA A WILDE (AUD)?
Directory geography for JESSICA A WILDE (AUD) centers on Sterling, Illinois.
Can I trust this NPI listing for JESSICA A WILDE (AUD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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