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REECE WILD PA-C
NPI 1114899168
Physician Assistant - Medical in Phoenix, AZ

Active since September 19, 2025PECOS Enrolled
500 W CAMELBACK RD UNIT 239, PHOENIX, AZ 85013(772) 486-1861 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Reece Wild Pa-c NPPES

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

REECE WILD PA-C (NPI 1114899168) is an individual medical provider in Phoenix, Arizona and active in the NPI registry since September 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1114899168
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameREECE WILDCredential: PA-C
Location Address500 W CAMELBACK RD UNIT 239Phoenix, AZ 85013-0004
Mailing Address500 W Camelback Rd Unit 239Phoenix, AZ 85013-0004 · (772) 486-1861
Phone(772) 486-1861
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 19, 2025
NPPES CertifiedSeptember 19, 2025
✔ NPI 1114899168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
500 W CAMELBACK RD UNIT 239, Phoenix, AZ 85013
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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)

Reece Wild Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID446737852
PECOS Enrollment IDI20260115003889
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.

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 Reece Wild's NPI number?

The NPI number for Reece Wild is 1114899168. It was assigned to this individual provider in the NPPES registry on September 19, 2025.

Where is Reece Wild located?

Reece Wild practices at 500 W Camelback Rd Unit 239, Phoenix, AZ 85013. The listed phone number is (772) 486-1861.

What is Reece Wild's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Reece Wild enrolled in Medicare?

Yes. Reece Wild is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Reece Wild was last updated on September 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.