JONATHAN MICHAEL WILDY (CRNA) – Registered Nurse, NPI 1619137288
Registered Nurse
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
966 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in KS
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Provider Addresses for JONATHAN MICHAEL WILDY (CRNA)
5101, West 73rd Street, Prairie Village South, Prairie Village, Johnson County, Kansas, 66208, United States
PRAIRIE VILLAGE, KS 662082434
Phone: (619) 600-1023
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: 2018-02-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20120824000725 | I | Certified Registered Nurse Anesthetist (Crna) | KS | TBD |
| I20140206001369 | I | Certified Registered Nurse Anesthetist (Crna) | TX | TBD |
| I20180223001962 | I | Certified Registered Nurse Anesthetist (Crna) | VA | 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 |
|---|---|---|---|---|
| 00811 | Anesthesia for other procedure on large bowel using an endoscope | 41 | 41 | $0 |
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 36 | 36 | $0 |
| 01402 | Anesthesia for procedure for total knee joint replacement | 16 | 15 | $0 |
| 00813 | Anesthesia for procedure on small and large bowel using an endoscope | 15 | 15 | $0 |
| 00790 | Anesthesia for other procedure on upper abdomen | 11 | 11 | $0 |
Insurance plans in this area (ZIP 66208)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | ID | |
| Diagnostic Radiology | OK | |
| Emergency Medicine | SC | |
| Nurse Practitioner | OR | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CA | |
| - | NE | |
| Emergency Medicine | CO | |
| - | MO | |
| Nurse Practitioner | TX | |
| - | SD |
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