ALFRED WILDE (CRNA) – Registered Nurse, NPI 1073651246

ALFRED WILDE (CRNA) is a healthcare provider. based in Tewksbury, Massachusetts. specializing in Registered Nurse. They hold the professional credentials CRNA. They hold a License No. 158640 (MA). The NPI Number for ALFRED WILDE (CRNA) is 1073651246

Main info

Male
Sole Proprietor
54 Years Of Experience
Accepts Medicare Assignment
Name
ALFRED WILDE (CRNA)
NPI
1073651246
Phone
Not provided
Address
201 CARTER ST
Enumeration Date
1 February 2007
Last Update Date
28 November 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9784750959
Graduation Year
1972 (54 years ago)
PAC ID
8921290685
Group Practice PAC ID
9537233010
Professional Enrollment ID
I20101013000429
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for ALFRED WILDE (CRNA)

  • 201, Carter Street, Tewksbury, Middlesex County, Massachusetts, 01876, United States

    TEWKSBURY, MA 018761425

    Phone:

    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.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 01876)

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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: 9537233010View full group profile
NameSpecialtyState
Anesthesiology, Interventional Pain ManagementMA
A N E S T H E S I O L O G YMA
-MA
Certified Registered Nurse Anesthetist (Crna)ME
Certified Registered Nurse Anesthetist (Crna)MA
Certified Registered Nurse Anesthetist (Crna)MA
Certified Registered Nurse Anesthetist (Crna)MA
A N E S T H E S I O L O G YMA
Certified Registered Nurse Anesthetist (Crna)MA
-NH

Reviews

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Frequently asked questions

What is the 10-digit NPI for ALFRED WILDE (CRNA)?
ALFRED WILDE (CRNA) — NPI 1073651246 — is the standard way to identify this listing.
Is ALFRED WILDE (CRNA) still practicing?
ALFRED WILDE (CRNA) is currently listed as active in the public NPI registry.
What is ALFRED WILDE (CRNA)'s specialty?
The listing groups ALFRED WILDE (CRNA) with Registered Nurse. Clinical services aligned with this taxonomy classification.
Where is ALFRED WILDE (CRNA) based?
ALFRED WILDE (CRNA) is tied to Tewksbury, Massachusetts in the data we show; additional addresses may exist on the full record.
Is the information about ALFRED WILDE (CRNA) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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