WENDY WILDERN – Acute Care Nurse Practitioner, NPI 1164917787

WENDY WILDERN is a healthcare provider. based in Lansing, Michigan. specializing in NURSE PRACTITIONER. They hold a License No. 4704250298 (MI). The NPI Number for WENDY WILDERN is 1164917787

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
WENDY WILDERN
NPI
1164917787
Phone
(517) 253-6320
Address
PO BOX 13008
Enumeration Date
26 June 2018
Last Update Date
23 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5173645258
Graduation Year
2018 (8 years ago)
PAC ID
6800144627
Group Practice PAC ID
6709799166
Professional Enrollment ID
I20180809004946
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness85
Years active:7State licenses:1Digital endpointsOther names

8,105 NURSE PRACTITIONER in MI

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Provider Addresses for WENDY WILDERN

  • PO BOX 13008

    LANSING, MI 489013008

    Phone: (517) 253-6320

    Fax: (517) 253-6321

    Type: Mailing

  • East Michigan Avenue, Stadium District, Lansing, Ingham County, Michigan, 48912, United States

    LANSING, MI 489121811

    Phone: (517) 364-3380

    Fax: (517) 364-3399

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $20.

Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.

Last reported payment date: 2024-03-12 • Largest payer in this snapshot: UCB, Inc. ($20).

Total Amount

$20

General + Research + Ownership

Payments

1

Total payment records

General Amount

$20

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-12

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
UCB, Inc.$20
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: 2018-08-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20180809004946INurse PractitionerMITBD

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
99291Critical care, first 30-74 minutes3530$0
View full utilization report →

Insurance plans in this area (ZIP 48901)

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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: 6709799166View full group profile
NameSpecialtyState
Nurse PractitionerMI
-MI
Family PracticeMI
-MI
P A T H O L O G YIL
Nurse PractitionerMI
Vascular Surgery, General SurgeryMI
Nurse PractitionerMI
Internal MedicineMI
Family PracticeMI

Reviews

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Frequently asked questions

Can I cross-check WENDY WILDERN using NPI 1164917787?
NPI 1164917787 belongs to WENDY WILDERN; compare other details if you need extra assurance.
Is WENDY WILDERN still an active registrant?
WENDY WILDERN carries an active NPI according to the public dataset.
What area of care is associated with WENDY WILDERN?
WENDY WILDERN's record emphasizes Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Michigan is WENDY WILDERN registered?
Use Lansing, Michigan as the headline location for WENDY WILDERN here.
Can I trust this NPI listing for WENDY WILDERN?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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