MRS. JACKI L WILDEMAN (ARNP) – Nurse Practitioner, NPI 1184672628

MRS. JACKI L WILDEMAN (ARNP) is a healthcare provider. based in Newburgh, Indiana. specializing in Nurse Practitioner. They hold the professional credentials ARNP. They hold a License No. 71001467A (IN). The NPI Number for MRS. JACKI L WILDEMAN (ARNP) is 1184672628

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
MRS. JACKI L WILDEMAN (ARNP)
NPI
1184672628
Phone
(812) 842-0907
Address
4015 GATEWAY BLVD STE 2120
Enumeration Date
5 May 2006
Last Update Date
6 December 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8124507899
Graduation Year
2002 (24 years ago)
PAC ID
5294749867
Group Practice PAC ID
0244595205
Professional Enrollment ID
I20060202000755
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience81
Completeness75
Years active:20State licenses:4Digital endpointsOther names

Provider Addresses for MRS. JACKI L WILDEMAN (ARNP)

  • 4015 GATEWAY BLVD STE 2120

    NEWBURGH, IN 476309460

    Phone: (812) 842-0907

    Fax: (812) 464-4485

    Type: Mailing

  • 4007 GATEWAY BLVD # 100

    NEWBURGH, IN 476308947

    Phone: (812) 842-0907

    Fax: (812) 490-7054

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $182.

Total Amount is formed as General ($182) + Research ($0) + Ownership ($0) = $182.

Last reported payment date: 2023-12-22 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($88).

Total Amount

$182

General + Research + Ownership

Payments

9

Total payment records

General Amount

$182

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-22

Latest reported date

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes551513$0
99214Established patient office or other outpatient visit, 30-39 minutes282264$0
99212Established patient office or other outpatient visit, 10-19 minutes1313$0
99203New patient office or other outpatient visit, 30-44 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 47630)

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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: 0244595205View full group profile
NameSpecialtyState
-IN
Interventional Cardiology, Cardiovascular Disease (Cardiology)PA
Nurse PractitionerIN
H E M A T O L O G Y/ O N C O L O G YIN
Nurse PractitionerIN
Cardiovascular Disease (Cardiology), Interventional CardiologyOK
E N D O C R I N O L O G YIN
Cardiovascular Disease (Cardiology)IN
Interventional Pain Management, Physical Medicine And Rehabilitation, Physical Medicine And RehabilitationIN
Endocrinology, Internal MedicineIN

Reviews

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Frequently asked questions

Does MRS. JACKI L WILDEMAN (ARNP) have a public NPI I can cite?
Public records show MRS. JACKI L WILDEMAN (ARNP) under NPI 1184672628.
Does the public listing show MRS. JACKI L WILDEMAN (ARNP) as active?
MRS. JACKI L WILDEMAN (ARNP)'s NPI record reflects an active status in NPPES.
What services align with MRS. JACKI L WILDEMAN (ARNP)'s listing?
MRS. JACKI L WILDEMAN (ARNP)'s public classification highlights Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to MRS. JACKI L WILDEMAN (ARNP)?
MRS. JACKI L WILDEMAN (ARNP) shows a connection to Newburgh, Indiana in registry-derived data.
Who maintains MRS. JACKI L WILDEMAN (ARNP)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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