ELIJAH FORREST WILDER (MD) – Psychiatry Physician, NPI 1144899055

ELIJAH FORREST WILDER (MD) is a healthcare provider. based in Columbia, Missouri. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. 74221 (TN). The NPI Number for ELIJAH FORREST WILDER (MD) is 1144899055

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
ELIJAH FORREST WILDER (MD)
NPI
1144899055
Phone
(573) 882-8907
Address
1 HOSPITAL DR
Enumeration Date
24 June 2021
Last Update Date
24 June 2025

Doctor Profile

Medical School Name
UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Secondary Phone
6292553486
Graduation Year
2021 (5 years ago)
PAC ID
8224439435
Group Practice PAC ID
4688651037
Professional Enrollment ID
I20250707003707
Address ID
TN371224493MO325XXRDXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness85
Years active:4State licenses:1Digital endpointsOther names

819 PSYCHIATRY in MO

Provider Addresses for ELIJAH FORREST WILDER (MD)

  • 1 HOSPITAL DR

    COLUMBIA, MO 652121000

    Phone: (573) 882-8907

    Fax: (573) 884-1070

    Type: Mailing

  • 222 22ND AVE N

    NASHVILLE, TN 372031852

    Phone: (629) 255-3486

    Fax: (629) 255-3075

    Type: Mailing

  • 325 OLD PLEASANT GROVE RD

    MOUNT JULIET, TN 371224493

    Phone: (629) 255-2240

    Fax: (629) 255-4292

    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 $31.

Total Amount is formed as General ($31) + Research ($0) + Ownership ($0) = $31.

Last reported payment date: 2023-02-21 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($17).

Total Amount

$31

General + Research + Ownership

Payments

2

Total payment records

General Amount

$31

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-21

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: 2025-07-07

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
I20250707003707IPsychiatryTNTBD

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 65212)

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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: 4688651037View full group profile
NameSpecialtyState
Internal MedicineTN
-TN
-TN
R H E U M A T O L O G YGA
Internal MedicineTN
Pediatric MedicineTN
Internal MedicineTN
-TN
P S Y C H I A T R YTN
Internal MedicineTN

Reviews

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Frequently asked questions

Does ELIJAH FORREST WILDER (MD) have a public NPI I can cite?
Public records show ELIJAH FORREST WILDER (MD) under NPI 1144899055.
Should I treat ELIJAH FORREST WILDER (MD) as an active provider?
Patients and plans typically see ELIJAH FORREST WILDER (MD) as active in the national extract.
How should patients interpret ELIJAH FORREST WILDER (MD)'s specialty?
The extract shows Psychiatry Physician for ELIJAH FORREST WILDER (MD). Clinical services aligned with this taxonomy classification.
What city is tied to ELIJAH FORREST WILDER (MD)?
The directory associates ELIJAH FORREST WILDER (MD) with Columbia, Missouri. Check all listed addresses for suites or satellite offices.
Can I export ELIJAH FORREST WILDER (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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