JOSHUA WILD (CRNA) – Certified Registered Nurse Anesthetist, NPI 1245024595

JOSHUA WILD (CRNA) is a healthcare provider. based in Lincoln, Nebraska. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 90950 (NE). The NPI Number for JOSHUA WILD (CRNA) is 1245024595

Main info

Male
1 Year Of Experience
Accepts Medicare Assignment
Name
JOSHUA WILD (CRNA)
NPI
1245024595
Phone
(402) 489-4186
Address
2900 S 70TH STREET
Enumeration Date
9 April 2025
Last Update Date
20 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4024890200
Graduation Year
2025 (1 year ago)
PAC ID
4880113125
Group Practice PAC ID
4385630391
Professional Enrollment ID
I20250529002081
Address ID
NE685061283LI1600XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:1State licenses:2Digital endpointsOther names

534 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in NE

Provider Addresses for JOSHUA WILD (CRNA)

  • 2900 S 70TH STREET

    SUITE # 250

    LINCOLN, NE 685063693

    Phone: (402) 489-4186

    Fax: (402) 489-5279

    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: 2025-05-29

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
I20250529002081ICertified Registered Nurse Anesthetist (Crna)NETBD

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 68506)

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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: 4385630391View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)NE
Certified Registered Nurse Anesthetist (Crna)KY
A N E S T H E S I O L O G YNE
Certified Registered Nurse Anesthetist (Crna)NE
Certified Registered Nurse Anesthetist (Crna)NE
-NE
Certified Registered Nurse Anesthetist (Crna)NE
Certified Registered Nurse Anesthetist (Crna)NE
Certified Registered Nurse Anesthetist (Crna)NE
A N E S T H E S I O L O G YNE

Reviews

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Frequently asked questions

How do payers reference JOSHUA WILD (CRNA)?
For JOSHUA WILD (CRNA), use NPI 1245024595 as the unique 10-digit identifier.
Is there an active status for JOSHUA WILD (CRNA)?
For scheduling context, JOSHUA WILD (CRNA) is shown as active in the registry.
What area of care is associated with JOSHUA WILD (CRNA)?
JOSHUA WILD (CRNA)'s record emphasizes Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for JOSHUA WILD (CRNA)?
Travel planning: use Lincoln, Nebraska as the reference point for JOSHUA WILD (CRNA), then confirm.
When was this NPI issued?
Enumeration for JOSHUA WILD (CRNA) is noted as April 9, 2025 where the registry provides it.

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