HEIDI BRYNA WILDSTEIN (APRN MSN) – Developmental - Behavioral Pediatrics Physician, NPI 1750355772
Developmental - Behavioral Pediatrics Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for HEIDI BRYNA WILDSTEIN (APRN MSN)
9805, Northwest Ash Street, West Haven, Portland, Metro, Washington County, Oregon, 97229, United States
300 GEORGE ST, 6TH FLOOR
NEW HAVEN, CT 065360805
Phone: (203) 785-7998
Fax: (203) 785-6414
Type: Mailing
422 HIGHLAND AVE
CHESHIRE, CT 064102526
Phone: (203) 304-4961
Fax: (203) 306-2905
Type: Location
800, Howard Avenue, New Haven, New Haven County, Connecticut, 06519, United States
YALE PHYSICIANS BUILDING
NEW HAVEN, CT 06519
Phone: (203) 785-2140
Fax: (203) 785-6414
Type: Location
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: 2008-03-13
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 |
|---|---|---|---|---|
| I20080313000028 | I | Nurse Practitioner | CT | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 06536)
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