JOHN A WILDER PH.D.
NPI 1164517819
Psychologist in Charlotte, NC
About John A Wilder Ph.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN A WILDER PH.D. (NPI 1164517819) is an individual psychologist in Charlotte, North Carolina, licensed in North Carolina (3005) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 2
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)
John A Wilder Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show John Wilder reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Kannapolis, NC 28081
- Reassigned Medicare billing, North Carolina enrollment
- 160 clinicians in this Medicare group
Rocky Mount, NC 27804
- Reassigned Medicare billing, North Carolina enrollment
- 45 clinicians in this Medicare group
Albuquerque, NM 87111
- Reassigned Medicare billing, North Carolina enrollment
- 155 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.
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 John Wilder's NPI number?
The NPI number for John Wilder is 1164517819. It was assigned to this individual provider in the NPPES registry on October 4, 2006. The provider is also known as Jay Wilder Ph.D..
Where is John Wilder located?
John Wilder practices at 14818 Capricorn Ln, Charlotte, NC 28277. The listed phone number is (704) 517-2138.
What is John Wilder's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is John Wilder enrolled in Medicare?
Yes. John Wilder is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for John Wilder's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Wilder reassigns Medicare benefits to 3 organizations: Inpatient Consultants Of North Carolina, PC (Kannapolis, NC), Opportunities Industrialization Center, Inc. (Rocky Mount, NC) and Nm Pacs 2 LLC (Albuquerque, NM). Each 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 John Wilder's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Wilder accept?
Health plans from Blue Cross and Blue Shield of NC, Cigna Healthcare and UnitedHealthcare list John Wilder 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 John Wilder was last updated on February 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.