HARLEY DANIELLE WILDE (PA) – Physician Assistant, NPI 1255915369

HARLEY DANIELLE WILDE (PA) is a healthcare provider. based in Edinburg, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA14526 (TX). The NPI Number for HARLEY DANIELLE WILDE (PA) is 1255915369

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
HARLEY DANIELLE WILDE (PA)
NPI
1255915369
Phone
(956) 362-3636
Address
5520 Leonardo Da Vinci Ste 100
Enumeration Date
6 May 2021
Last Update Date
13 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9569732446
Graduation Year
2020 (6 years ago)
PAC ID
0345633715
Group Practice PAC ID
7810110780
Professional Enrollment ID
I20220207001868
Address ID
TX785966649WE902XXDRXX403

Contacts

Secure Messaging
harley.wilde@texasfwc.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness85
Years active:5State licenses:1Other namesUpdated within 12 months

8,491 PHYSICIAN ASSISTANT in TX

Provider Addresses for HARLEY DANIELLE WILDE (PA)

  • 5520 Leonardo Da Vinci Ste 100

    Edinburg, TX 785391422

    Phone: (956) 362-3636

    Fax: (956) 362-2699

    Type: Location

  • 5520 LEONARDO DA VINCI STE 100

    EDINBURG, TX 785391422

    Phone: (956) 362-3636

    Fax: (956) 362-2699

    Type: Location

  • PO BOX 6139

    MCALLEN, TX 785026139

    Phone: (956) 362-3636

    Fax: (956) 362-2699

    Type: Mailing

  • 902 S AIRPORT DR. STE 6

    WESLACO, TX 785966644

    Phone: (956) 362-8700

    Fax: (956) 647-5013

    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 $237.

Total Amount is formed as General ($237) + Research ($0) + Ownership ($0) = $237.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Mallinckrodt Hospital Products Inc. ($122).

Total Amount

$237

General + Research + Ownership

Payments

2

Total payment records

General Amount

$237

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2022-02-07

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
I20220207001868IPhysician AssistantTXTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes11279$0
99214Established patient office or other outpatient visit, 30-39 minutes4943$0
99204New patient office or other outpatient visit, 45-59 minutes3131$0
View full utilization report →

Insurance plans in this area (ZIP 78539)

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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: 7810110780View full group profile
NameSpecialtyState
Gastroenterology, Internal MedicineTX
Physician AssistantTX
Nurse PractitionerTX
Internal Medicine, GastroenterologyTX
Nurse PractitionerTX
-TX
Nurse PractitionerTX
G A S T R O E N T E R O L O G YTX
Gastroenterology, Internal MedicineTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

What identifier follows HARLEY DANIELLE WILDE (PA) across health systems?
The NPI 1255915369 uniquely identifies HARLEY DANIELLE WILDE (PA) in U.S. healthcare data.
Does the public listing show HARLEY DANIELLE WILDE (PA) as active?
HARLEY DANIELLE WILDE (PA)'s NPI record reflects an active status in NPPES.
What services align with HARLEY DANIELLE WILDE (PA)'s listing?
HARLEY DANIELLE WILDE (PA)'s public classification highlights Physician Assistant. Clinical services aligned with this taxonomy classification.
Can patients visit HARLEY DANIELLE WILDE (PA) in Edinburg, Texas?
For routing, start with Edinburg, Texas for HARLEY DANIELLE WILDE (PA), then verify phone and hours locally.
Why is information missing for HARLEY DANIELLE WILDE (PA)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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