SHAWN WILDE
NPI 1063277259
Counselor - Mental Health in Nashua, NH

Active since February 16, 2024PECOS Enrolled

NPPES record last updated: February 16, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Shawn Wilde NPPES

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

SHAWN WILDE (NPI 1063277259) is an individual mental health provider in Nashua, New Hampshire and active in the NPI registry since February 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1063277259
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameSHAWN WILDE
Location Address45 HIGH STNashua, NH 03060-3312
Mailing Address45 High StNashua, NH 03060-3312 · (603) 821-7788
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateFebruary 16, 2024
NPPES CertifiedFebruary 16, 2024
✔ NPI 1063277259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
45 HIGH ST, Nashua, NH 03060

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shawn Wilde is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID941730311
PECOS Enrollment IDI20250214000233
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.

Medicare Billing Reassignment

Medicare enrollment records show Shawn Wilde reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Same address
Public Health or Welfare
45 HIGH ST
Nashua, NH 03060
  • Reassigned Medicare billing, New Hampshire enrollment
  • 25 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Dental Hygienist
45 HIGH ST
NASHUA, NH 03060
Counselor (Mental Health)
45 HIGH ST
NASHUA, NH 03060
Nurse Practitioner (Primary Care)
45 HIGH ST
NASHUA, NH 03060
Counselor (Mental Health)
45 HIGH ST
NASHUA, NH 03060
Nurse Practitioner
45 HIGH ST
NASHUA, NH 03060
Social Worker (Clinical)
45 HIGH ST
NASHUA, NH 03060
Dentist
45 HIGH ST
NASHUA, NH 03060
Physician Assistant
45 HIGH ST
NASHUA, NH 03060

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 Shawn Wilde's NPI number?

The NPI number for Shawn Wilde is 1063277259. It was assigned to this individual provider in the NPPES registry on February 16, 2024.

Where is Shawn Wilde located?

Shawn Wilde practices at 45 High St, Nashua, NH 03060. The listed phone number is (603) 821-7788.

What is Shawn Wilde's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Shawn Wilde enrolled in Medicare?

Yes. Shawn Wilde is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shawn Wilde's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shawn Wilde reassigns Medicare benefits to Harbor Homes, Inc. (Nashua, NH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shawn Wilde's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shawn Wilde accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and Taro Health list Shawn Wilde as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shawn Wilde was last updated on February 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.