HILARY G WILDE (RD, CDE) – Registered Dietitian, NPI 1023548559

HILARY G WILDE (RD, CDE) is a healthcare provider. based in Brooklyn park, Minnesota. specializing in REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL. They hold the professional credentials RD, CDE. They hold a License No. 3425 (MN). The NPI Number for HILARY G WILDE (RD, CDE) is 1023548559

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
HILARY G WILDE (RD, CDE)
NPI
1023548559
Phone
Not provided
Address
10000 ZANE AVE N
Enumeration Date
18 June 2017
Last Update Date
18 June 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6126727422
Graduation Year
2013 (13 years ago)
PAC ID
1355613621
Group Practice PAC ID
9133423304
Professional Enrollment ID
I20170821003390
Address ID
MN554554800MI909XXSEXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

277 REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL in MN

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Provider Addresses for HILARY G WILDE (RD, CDE)

  • Fairview Clinics - Brooklyn Park, 10000, Zane Avenue North, Brooklyn Park, Hennepin County, Minnesota, 55443, United States

    BROOKLYN PARK, MN 554431400

    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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-08-21

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
I20170821003390IRegistered Dietitian Or Nutrition ProfessionalMNTBD

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
G0108Diabetes outpatient self-management training services, individual, per 30 minutes2012$0
View full utilization report →

Insurance plans in this area (ZIP 55443)

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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: 9133423304View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YMN
N E U R O S U R G E R YOH
G A S T R O E N T E R O L O G YMN
Diagnostic RadiologyMN
Internal MedicineMN
-MN
Internal Medicine, GastroenterologyMN
A N E S T H E S I O L O G YMN
Physician AssistantMN
-MN

Reviews

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Frequently asked questions

What unique ID ties claims to HILARY G WILDE (RD, CDE)?
NPI 1023548559 is assigned to HILARY G WILDE (RD, CDE) under the national enumeration system.
Is HILARY G WILDE (RD, CDE) active in the national directory?
HILARY G WILDE (RD, CDE)'s public NPI profile is in an active state.
What field does HILARY G WILDE (RD, CDE) work in?
You can think of HILARY G WILDE (RD, CDE) as practicing within Registered Dietitian. Clinical services aligned with this taxonomy classification.
Does HILARY G WILDE (RD, CDE) practice in Minnesota?
You will see Brooklyn Park, Minnesota on file for HILARY G WILDE (RD, CDE) alongside any extra practice locations.
How can I contact HILARY G WILDE (RD, CDE)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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