DR. STEPHANIE KRESCH WILDER M.D.
NPI 1114114550
Obstetrics & Gynecology in Springfield, OR

Q: What is Stephanie Wilder's NPI number?

The NPI number for Stephanie Wilder is 1114114550. It was assigned to this individual provider in the NPPES registry on October 1, 2007.

Q: What is Stephanie Wilder's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Stephanie Wilder was last updated on March 8, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 01, 2007PECOS Enrolled

3100 MARTIN LUTHER KING JR PKWY, SPRINGFIELD, OR 97477(541) 868-9700(541) 485-7392 Get Directions Write a Review

NPPES record last updated: March 8, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Stephanie Kresch Wilder M.d. NPPES

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

DR. STEPHANIE KRESCH WILDER M.D. (NPI 1114114550) is an individual obstetrics & gynecology provider in Springfield, Oregon, licensed in Oregon (MD176904) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114114550

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameDR. STEPHANIE KRESCH WILDERCredential: M.D.

Location Address3100 MARTIN LUTHER KING JR PKWYSpringfield, OR 97477-7514

Mailing AddressPo Box 70368Springfield, OR 97475-0120 · (541) 485-2777 · Fax (541) 246-2353

Phone(541) 868-9700

Fax(541) 485-7392

Sole ProprietorNo

Enumeration DateOctober 1, 2007

Last NPPES UpdateMarch 8, 2022

NPPES CertifiedMarch 8, 2022

✔ NPI 1114114550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Licenses✔ Licensed in OR · MD176904✔ Licensed in UT · 6360465-1205✔ Licensed in KY · TP119

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

3100 MARTIN LUTHER KING JR PKWY, Springfield, OR 97477

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Other Identifiers 1

Medicaid500714052OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Stephanie Kresch Wilder M.d. 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 97477 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

$126.25 typical visit price

range $54.96 – $166.64

Typical copayment $31.56 (range $13.74 – $41.66)

Most-billed visit code 99204

Established Patient

$68.64 typical visit price

range $17.68 – $136.19

Typical copayment $17.16 (range $4.42 – $34.04)

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.

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Other Providers at the Same Location NPPES 18

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

DR. BROOKE H. L. KYLE M.D.

Obstetrics & Gynecology