JESSICA WILDE (PA-C) – Physician Assistant, NPI 1689094559
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,491 PHYSICIAN ASSISTANT in TX
Provider Addresses for JESSICA WILDE (PA-C)
4611 GUADALUPE ST STE 200
AUSTIN, TX 787512928
Phone: (512) 476-2830
Fax: (512) 476-2832
Type: Location
4 LAKEWAY CENTRE CT STE A
LAKEWAY, TX 787342757
Phone: (512) 610-3110
Fax: (855) 657-6065
Type: Mailing
17510 DELL CITY DR
ROUND ROCK, TX 786647255
Phone: (979) 204-1742
Type: Mailing
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 $42.
Total Amount is formed as General ($42) + Research ($0) + Ownership ($0) = $42.
Last reported payment date: 2023-09-06 • Largest payer in this snapshot: Smith+Nephew, Inc. ($24).
Total Amount
$42
General + Research + Ownership
Payments
2
Total payment records
General Amount
$42
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-09-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Smith+Nephew, Inc. | $24 |
| Davol Inc. | $18 |
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: 2015-04-07
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150407000409 | I | Physician Assistant | TX | 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.
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 |
|---|---|---|---|---|
| 27447 | Replacement of knee joint, both sides of knee | 45 | 39 | $0 |
| 27130 | Replacement of thigh bone and hip joint with prosthesis | 23 | 22 | $0 |
Insurance plans in this area (ZIP 78751)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | TX | |
| - | TX | |
| Orthopedic Surgery | TX | |
| Physical Therapist In Private Practice | TX | |
| Orthopedic Surgery | TX | |
| Hand Surgery | CA | |
| Physical Therapist In Private Practice | TX | |
| Physician Assistant | TX | |
| Physical Therapist In Private Practice | TX | |
| Physical Therapist In Private Practice | TX |
Reviews
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