DR. STEPHANIE KRESCH WILDER (M.D.) – Obstetrics & Gynecology Physician, NPI 1114114550
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. STEPHANIE KRESCH WILDER (M.D.)
401EAST CHESTNUT STREET
STE 410
LOUISVILLE, KY 40202
Phone: (502) 588-0329
Fax: (502) 588-0326
Type: Location
909, Fountain Avenue, Louisville, Jefferson County, Kentucky, 40222, United States
LOUISVILLE, KY 402010909
Phone: (502) 588-0329
Fax: (502) 588-0326
Type: Mailing
PO BOX 70368
SPRINGFIELD, OR 974750120
Phone: (541) 485-2777
Fax: (541) 246-2353
Type: Mailing
3100 MARTIN LUTHER KING JR PKWY
SPRINGFIELD, OR 974777514
Phone: (541) 868-9700
Fax: (541) 485-7392
Type: Location
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: 2016-09-21
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 |
|---|---|---|---|---|
| I20141216002572 | I | Obstetrics/Gynecology | KY | TBD |
| I20160921002842 | I | Obstetrics/Gynecology | OR | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 40202)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | OR | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OR | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OR | |
| Certified Nurse Midwife (Cnm) | OR | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OR | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OR | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OR | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OR | |
| - | OR | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OR |
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