JESSICA WILD FNP
NPI 1023661709
Family Medicine in Bridgeton, MO

Q: What is Jessica Wild's NPI number?

The NPI number for Jessica Wild is 1023661709. It was assigned to this individual provider in the NPPES registry on July 22, 2019.

Q: What is Jessica Wild's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Wild was last updated on July 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.

Active since July 22, 2019PECOS Enrolled

12303 DEPAUL DRIVE, BRIDGETON, MO 63044(314) 344-6080 Get Directions Write a Review

NPPES record last updated: July 22, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jessica Wild Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA WILD FNP (NPI 1023661709) is an individual family medicine provider in Bridgeton, Missouri, licensed in Missouri (2019023513) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023661709

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameJESSICA WILDCredential: FNP

Location Address12303 DEPAUL DRIVEBridgeton, MO 63044

Mailing Address12303 Depaul DrBrideton, MO 63044

Phone(314) 344-6080

Sole ProprietorYes

Enumeration DateJuly 22, 2019

✔ NPI 1023661709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MO · 2019023513

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

12303 DEPAUL DRIVE, Bridgeton, MO 63044

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Wild Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63044 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$86.32 typical visit price

range $55.65 – $169.38

Typical copayment $21.58 (range $13.91 – $42.34)

Most-billed visit code 99203

Established Patient

$98.37 typical visit price

range $17.76 – $137.92

Typical copayment $24.59 (range $4.44 – $34.48)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

JOANNE M MALCHAREK MD

Pediatrics