EMILY KATE WILD (CNP) – Family Nurse Practitioner, NPI 1578211595

EMILY KATE WILD (CNP) is a healthcare provider. based in Saint paul, Minnesota. specializing in NURSE PRACTITIONER. They hold the professional credentials CNP. They hold a License No. 2224114 (MN). The NPI Number for EMILY KATE WILD (CNP) is 1578211595

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
EMILY KATE WILD (CNP)
NPI
1578211595
Phone
(218) 591-1678
Address
2912 MOUNDS VIEW BLVD
Enumeration Date
17 March 2022
Last Update Date
6 November 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2187868364
Graduation Year
2022 (4 years ago)
PAC ID
7810360211
Group Practice PAC ID
2567374283
Professional Enrollment ID
I20230306002560
Address ID
MN558051951DU400XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:4State licenses:2Digital endpointsOther names

5,720 NURSE PRACTITIONER in MN

Provider Addresses for EMILY KATE WILD (CNP)

  • 2912 MOUNDS VIEW BLVD

    SAINT PAUL, MN 551124075

    Phone: (218) 591-1678

    Type: Mailing

  • 333 SMITH AVE N

    SAINT PAUL, MN 551022344

    Phone: (651) 241-8000

    Type: Location

  • 4396 OAKHURST AVE

    VADNAIS HEIGHTS, MN 551273589

    Phone: (218) 591-1678

    Type: Mailing

  • 20 5TH ST SE

    COOK, MN 557239702

    Phone: (218) 666-5941

    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 $30.

Total Amount is formed as General ($30) + Research ($0) + Ownership ($0) = $30.

Last reported payment date: 2023-04-04 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($16).

Total Amount

$30

General + Research + Ownership

Payments

2

Total payment records

General Amount

$30

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-04

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2023-03-06

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
I20230306002560INurse PractitionerMNTBD

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.

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

Insurance plans in this area (ZIP 55112)

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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: 2567374283View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMT
-ND
Physician AssistantMN
Nurse PractitionerSD
-MN
Qualified AudiologistMN
-MN
-MN
P A T H O L O G YWV
Family PracticeMN

Reviews

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Frequently asked questions

Is EMILY KATE WILD (CNP) listed with a National Provider Identifier?
Yes — EMILY KATE WILD (CNP) has NPI 1578211595 on file in the registry.
Active or inactive — what applies to EMILY KATE WILD (CNP)?
You should see EMILY KATE WILD (CNP) as active in CMS-hosted NPPES data.
How would a patient describe EMILY KATE WILD (CNP)'s focus?
For EMILY KATE WILD (CNP), the primary taxonomy reads as Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for EMILY KATE WILD (CNP)?
Travel planning: use Saint Paul, Minnesota as the reference point for EMILY KATE WILD (CNP), then confirm.
Does EMILY KATE WILD (CNP) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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