MATTHEW BOG WILDER – Certified Registered Nurse Anesthetist, NPI 1003570953

Certified Registered Nurse Anesthetist

MATTHEW BOG WILDER is a healthcare provider. based in Madison, Tennessee. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 182595 (TN). The NPI Number for MATTHEW BOG WILDER is 1003570953

Main info

Male

Sole Proprietor

5 Years Of Experience

Accepts Medicare Assignment

Name

MATTHEW BOG WILDER

NPI

1003570953

Phone

(615) 732-7671

Address

315 Hospital Dr

Enumeration Date

27 October 2021

Last Update Date

17 March 2022

Doctor Profile

Medical School Name

OTHER

Secondary Phone

6157914790

Graduation Year

2021 (5 years ago)

PAC ID

2769874999

Group Practice PAC ID

0042477705

Professional Enrollment ID

I20220121000208

Address ID

TN370676000FR4601XPKWY301

Contacts

Secure Messaging

mwilder481442@direct.vumc.org

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience41

Completeness85

Years active:4State licenses:2Other namesUpdated within 12 months

2,752 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in TN

Provider Addresses for MATTHEW BOG WILDER

315 Hospital Dr
Madison, TN 371155030
Phone: (615) 732-7671
Type: Location
3841 GREEN HILLS VILLAGE DR STE 200
NASHVILLE, TN 372152691
Phone:
Type: Mailing
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 372325030
Phone: (615) 322-3000
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2022-01-21

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

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

Medicare enrolled
On CMS revalidation list
Due date assigned
Revalidate in PECOS

CMS enrollment records

Enrollment ID	Type	Specialty	State	Due date
I20220121000208	I	Certified Registered Nurse Anesthetist (Crna)	TN	TBD

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

HCPCS	Description	Services	Beneficiaries	Medicare allowed
00731	Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope	30	29	$0
00811	Anesthesia for other procedure on large bowel using an endoscope	16	16	$0

View full utilization report →

Insurance plans in this area (ZIP 37115)

Loading plans...

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: 0042477705View full group profile

Name	Specialty	State
MRS. MISTY COGGINS HANDY (CRNA)	Certified Registered Nurse Anesthetist (Crna)	TN
MARK ALLEN KELLEY (CRNA)	Certified Registered Nurse Anesthetist (Crna)	TN
JESSICA LEE GLASS (CRNA)	Certified Registered Nurse Anesthetist (Crna)	TN
CHAD RIDDLE (CRNA)	Certified Registered Nurse Anesthetist (Crna)	KY
JOHNATHAN D GUNNO (CRNA)	Certified Registered Nurse Anesthetist (Crna)	TN
MR. JONATHAN WAYNE BURKS (CRNA)	Certified Registered Nurse Anesthetist (Crna)	TN
MS. AMY HOWDEN (CRNA)	-	TN
QUINNTON REES	Certified Registered Nurse Anesthetist (Crna)	TN
JENNIFER GIUDICE (CRNA)	Certified Registered Nurse Anesthetist (Crna)	KY
MICHAEL TODD BRASHEAR (CRNA)	Certified Registered Nurse Anesthetist (Crna)	KY

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Does MATTHEW BOG WILDER have a public NPI I can cite?

Public records show MATTHEW BOG WILDER under NPI 1003570953.

Should I treat MATTHEW BOG WILDER as an active provider?

Patients and plans typically see MATTHEW BOG WILDER as active in the national extract.

Which specialty label fits MATTHEW BOG WILDER?

NPPES ties MATTHEW BOG WILDER to Certified Registered Nurse Anesthetist in the taxonomy section. Clinical services aligned with this taxonomy classification.

Is MATTHEW BOG WILDER tied to Madison, Tennessee?

If you are local to Madison, Tennessee, MATTHEW BOG WILDER may be relevant to your search.

Why is information missing for MATTHEW BOG WILDER?

Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.