JEREMY LEE WILT (NP) – Family Nurse Practitioner, NPI 1043689672
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,192 NURSE PRACTITIONER in IN
Provider Addresses for JEREMY LEE WILT (NP)
9431 COUNTY ROAD 403
CHARLESTOWN, IN 471118946
Phone: (812) 256-6391
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)
CMS reports 131 Open Payments records for all available years, with a total value of $6,323.
Total Amount is formed as General ($6,323) + Research ($0) + Ownership ($0) = $6,323.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Teleflex LLC ($3,023).
Total Amount
$6,323
General + Research + Ownership
Payments
131
Total payment records
General Amount
$6,323
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Teleflex LLC | $3,023 |
| Sumitomo Pharma America, Inc. | $691 |
| PROCEPT BioRobotics Corporation | $366 |
| Endo Pharmaceuticals Inc. | $244 |
| Halozyme Inc | $235 |
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: 2023-01-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180322001684 | I | Nurse Practitioner | IN | TBD |
| I20230103001452 | I | Nurse Practitioner | KY | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 81003 | Automated urinalysis test | 729 | 611 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 542 | 465 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 249 | 230 | $0 |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 93 | 87 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 32 | 32 | $0 |
Insurance plans in this area (ZIP 47111)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IN | |
| U R O L O G Y | IN | |
| U R O L O G Y | IN | |
| Radiation Oncology | KY | |
| Nurse Practitioner | KY | |
| U R O L O G Y | IN | |
| Nurse Practitioner | IN | |
| U R O L O G Y | IN | |
| - | IN | |
| Interventional Radiology | IL |
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