ANDREW WILD
NPI 1164098760
Counselor - Professional in Athens, OH

Active since June 03, 2021PECOS EnrolledAccepts Medicare Assignment
11 GRAHAM DR, ATHENS, OH 45701(800) 321-8293 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 9, 2025, Jun 3, 2021 (2 updates tracked since 2021).

About Andrew Wild NPPES

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

ANDREW WILD (NPI 1164098760) is an individual professional provider in Athens, Ohio, licensed in Ohio (E.2404527) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1164098760
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameANDREW WILD
Location Address11 GRAHAM DRAthens, OH 45701-1430
Mailing AddressPo Box 132Athens, OH 45701-0132 · (740) 644-9872
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 3, 2021
Last NPPES UpdateApril 9, 20252 updates tracked since enumeration
NPPES CertifiedApril 9, 2025
NPI 1164098760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in OH · E.2404527
Also ListedCounselorTaxonomy 101Y00000X · License C.2103185-TRNE (OH)
11 GRAHAM DR, Athens, OH 45701

Accepted 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

Andrew Wild 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 ID9234663667
PECOS Enrollment IDI20241107003688
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.

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.

Social Worker (Clinical)
11 GRAHAM DR
ATHENS, OH 45701
Social Worker
11 GRAHAM DR
ATHENS, OH 45701
Community Health Worker
11 GRAHAM DR
ATHENS, OH 45701
Community Health Worker
11 GRAHAM DR
ATHENS, OH 45701
Community Health Worker
11 GRAHAM DR
ATHENS, OH 45701
Social Worker
11 GRAHAM DR
ATHENS, OH 45701
Social Worker
11 GRAHAM DR
ATHENS, OH 45701
Case Manager/Care Coordinator
11 GRAHAM DR
ATHENS, OH 45701

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 Andrew Wild's NPI number?

The NPI number for Andrew Wild is 1164098760. It was assigned to this individual provider in the NPPES registry on June 3, 2021.

Where is Andrew Wild located?

Andrew Wild practices at 11 Graham Dr, Athens, OH 45701. The listed phone number is (800) 321-8293.

What is Andrew Wild's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Andrew Wild enrolled in Medicare?

Yes. Andrew Wild 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 Andrew Wild accept?

Health plans from Anthem Blue Cross and Blue Shield, Molina Healthcare and UnitedHealthcare list Andrew Wild 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 Andrew Wild was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.