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JOHNATHON CHASE WILDE PA-C
NPI 1073231999
Physician Assistant in Idaho Falls, ID

Active since August 16, 2022PECOS EnrolledAccepts Medicare Assignment
3820 CRESTWOOD LN, IDAHO FALLS, ID 83404(208) 552-7700 Get Directions Write a Review

NPPES record last updated: September 26, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 26, 2024, Aug 16, 2022 (2 updates tracked since 2022).

About Johnathon Chase Wilde Pa-c NPPES

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

JOHNATHON CHASE WILDE PA-C (NPI 1073231999) is an individual physician assistant in Idaho Falls, Idaho, licensed in Idaho (8361377) and active in the NPI registry since August 2022. He is enrolled in Medicare PECOS, is affiliated with Eastern Idaho Regional Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1073231999
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJOHNATHON CHASE WILDECredential: PA-C
Location Address3820 CRESTWOOD LNIdaho Falls, ID 83404-4979
Mailing Address3820 Crestwood LnIdaho Falls, ID 83404-4979 · (208) 552-7700
Phone(208) 552-7700
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 16, 2022
Last NPPES UpdateSeptember 26, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2024
✔ NPI 1073231999 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in ID · 8361377
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3820 CRESTWOOD LN, Idaho Falls, ID 83404
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence Health Plan.Insurance ›

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

Johnathon Chase Wilde Pa-c 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.

PECOS PAC ID6002349677
PECOS Enrollment IDI20241210002095
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Eastern Idaho Regional Medical Center

Acute Care Hospitals · Idaho Falls, ID
3/5 CMS rating
OwnershipProprietary
CMS Certification Number130018
Location3100 Channing WayIdaho Falls, ID 83404 · Bonneville County
Emergency services Birthing friendly

Mountain View Hospital

Acute Care Hospitals · Idaho Falls, ID
1/5 CMS rating
OwnershipPhysician
CMS Certification Number130065
Location2325 Coronado StreetIdaho Falls, ID 83404 · Bonneville County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83404 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
Most-billed visit code 99213
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 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALYSSA JENKINS PA-C
Physician Assistant (Medical)
3820 CRESTWOOD LN
IDAHO FALLS, ID 83404
Bonneville County (208) 552-7700
NATALIE HANCOCK
Physician Assistant (Medical)
3820 CRESTWOOD LN
IDAHO FALLS, ID 83404
Bonneville County (208) 552-7700
MR. HIRAM BENJAMIN WIGANT MS, RD
Dietitian, Registered
3820 CRESTWOOD LN
IDAHO FALLS, ID 83404
Bonneville County (385) 432-6600
JESSICA PACKER SMOOT PA
Family Medicine
3820 CRESTWOOD LN
IDAHO FALLS, ID 83404
Bonneville County (208) 552-7700
CRAIG G STEINER MD
Family Medicine
3820 CRESTWOOD LN
IDAHO FALLS, ID 83404
Bonneville County (208) 552-7700
MALINDA BARNES RD
Dietitian, Registered
3820 CRESTWOOD LN
IDAHO FALLS, ID 83404
Bonneville County (208) 469-2422
PRECISION MEDICAL CARE LLC
Family Medicine
3820 CRESTWOOD LN
IDAHO FALLS, ID 83404
Bonneville County (208) 918-2525
ELLIS REIBSTEIN
Case Manager/Care Coordinator
3820 CRESTWOOD LN
IDAHO FALLS, ID 83404
Bonneville County (208) 996-2692

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 Johnathon Wilde's NPI number?

The NPI number for Johnathon Wilde is 1073231999. It was assigned to this individual provider in the NPPES registry on August 16, 2022.

Where is Johnathon Wilde located?

Johnathon Wilde practices at 3820 Crestwood Ln, Idaho Falls, ID 83404. The listed phone number is (208) 552-7700.

What is Johnathon Wilde's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Johnathon Wilde enrolled in Medicare?

Yes. Johnathon Wilde 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.

What insurance does Johnathon Wilde accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Johnathon 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.

Is Johnathon Wilde affiliated with any hospitals?

According to CMS data, Johnathon Wilde is affiliated with Eastern Idaho Regional Medical Center and Mountain View Hospital.

When was this NPI record last updated?

The NPPES record for Johnathon Wilde was last updated on September 26, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.