JOAN T WILDENHAIN (NP) – Nurse Practitioner, NPI 1720073455

JOAN T WILDENHAIN (NP) is a healthcare provider. based in Fairhaven, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. RN225095 (MA). The NPI Number for JOAN T WILDENHAIN (NP) is 1720073455

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
JOAN T WILDENHAIN (NP)
NPI
1720073455
Phone
(508) 973-2000
Address
200 MILL RD
Enumeration Date
19 September 2005
Last Update Date
8 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5089731570
Graduation Year
1998 (28 years ago)
PAC ID
1658415823
Group Practice PAC ID
0749171957
Professional Enrollment ID
I20151022000230
Address ID
MA027774119SW479XXDRXX400

Contacts

Secure Messaging
jwildenhain20672@direct.southcoast.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

8,971 NURSE PRACTITIONER in MA

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Provider Addresses for JOAN T WILDENHAIN (NP)

  • 200, Mill Road, Fairhaven, Bristol County, Massachusetts, 02719, United States

    SUITE 180

    FAIRHAVEN, MA 027195252

    Phone: (508) 973-2000

    Fax: (508) 973-2001

    Type: Mailing

  • 479, Swansea Mall Drive, Swansea, Bristol County, Massachusetts, 02777, United States

    SWANSEA, MA 027774119

    Phone: (508) 973-1550

    Fax: (508) 973-0386

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $233.

Total Amount is formed as General ($233) + Research ($0) + Ownership ($0) = $233.

Last reported payment date: 2024-09-19 • Largest payer in this snapshot: Amgen Inc. ($125).

Total Amount

$233

General + Research + Ownership

Payments

2

Total payment records

General Amount

$233

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-19

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Amgen Inc.$125
Radius Health, Inc.$108
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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-10-22

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100225000817INurse PractitionerRITBD
I20151022000230INurse PractitionerMATBD

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.

Verify on CMS Revalidation Lookup Tool

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
J0897Injection, denosumab, 1 mg7,86079$0
99214Established patient office or other outpatient visit, 30-39 minutes323242$0
96372Injection of drug or substance under skin or into muscle201124$0
99213Established patient office or other outpatient visit, 20-29 minutes196152$0
J1100Injection, dexamethasone sodium phosphate, 1 mg13626$0
View full utilization report →

Insurance plans in this area (ZIP 02719)

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Provider's Procedures

JOAN T WILDENHAIN (NP) performs procedures in NURSE PRACTITIONER. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERMA20610Aspiration and/or injection of large joint or joint capsule1713

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: 0749171957View full group profile
NameSpecialtyState
Nurse PractitionerRI
Pain Management, AnesthesiologyMA
Certified Registered Nurse Anesthetist (Crna)MA
Clinical Social WorkerMA
Hospitalist, Internal MedicineMA
Physician AssistantMA
H O S P I T A L I S TMA
Certified Registered Nurse Anesthetist (Crna)RI
Clinical Social WorkerMA
A N E S T H E S I O L O G YMA

Reviews

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Frequently asked questions

Where can patients find JOAN T WILDENHAIN (NP)'s NPI?
You can confirm JOAN T WILDENHAIN (NP) with NPI 1720073455; it appears in the national provider directory.
Is JOAN T WILDENHAIN (NP) currently active in the NPI registry?
CMS-published data lists JOAN T WILDENHAIN (NP) as an active registrant.
What does JOAN T WILDENHAIN (NP) treat or focus on?
Patients typically see JOAN T WILDENHAIN (NP) under the specialty Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is JOAN T WILDENHAIN (NP)'s primary listing?
We display Fairhaven, Massachusetts because that is what the record indicates for JOAN T WILDENHAIN (NP).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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