MR. JOHN DAVID WILDGUST RN, MSN, PHN, PMHNP
NPI 1013698232
Nurse Practitioner - Psychiatric/Mental Health in Santa Rosa, CA
About Mr. John David Wildgust Rn, Msn, Phn, Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JOHN DAVID WILDGUST RN, MSN, PHN, PMHNP (NPI 1013698232) is an individual psychiatric/mental health provider in Santa Rosa, California, licensed in California (NP95034156) and active in the NPI registry since July 2023. He is enrolled in Medicare PECOS, maintains a secondary practice location in Santa Rosa, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. John David Wildgust Rn, Msn, Phn, Pmhnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SANTA ROSA, CA 95401
SANTA ROSA, CA 95401
SANTA ROSA, CA 95401
SANTA ROSA, CA 95401
SANTA ROSA, CA 95401
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is John Wildgust's NPI number?
The NPI number for John Wildgust is 1013698232. It was assigned to this individual provider in the NPPES registry on July 31, 2023.
Where is John Wildgust located?
John Wildgust practices at 480 Tesconi Cir Ste B, Santa Rosa, CA 95401. The listed phone number is (707) 206-7268.
What is John Wildgust's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is John Wildgust enrolled in Medicare?
Yes. John Wildgust is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for John Wildgust was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mr. John David Wildgust, RN, MSN, PHN, PMHNP · NPI 1013698232
Psychiatric/Mental Health physician in Santa Rosa, California. Individual provider, active in the CMS NPPES registry since July 31, 2023.
## Identity
- **NPI:** 1013698232 (Entity type: Individual)
- **Enumerated:** July 31, 2023
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** NP95034156 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 480 TESCONI CIR STE B, Santa Rosa, CA 95401-4691
- **Phone:** (707) 206-7268 · **Fax:** (707) 206-7254
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** April 9, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1013698232) · Data from the CMS NPPES public registry.