WENDY WILDERN
NPI 1164917787
Nurse Practitioner - Acute Care in Lansing, MI

Active since June 26, 2018PECOS EnrolledAccepts Medicare Assignment
1215 E MICHIGAN AVE FL 7, LANSING, MI 48912(517) 364-3380(517) 364-3399 Get Directions Write a Review

NPPES record last updated: September 23, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Wendy Wildern NPPES

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

WENDY WILDERN (NPI 1164917787) is an individual acute care provider in Lansing, Michigan, licensed in Michigan (4704250298) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, is affiliated with Edward W Sparrow Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1164917787
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameWENDY WILDERN
Location Address1215 E MICHIGAN AVE FL 7Lansing, MI 48912-1811
Mailing AddressPo Box 13008Lansing, MI 48901-3008 · (517) 253-6320 · Fax (517) 253-6321
Fax(517) 364-3399
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 26, 2018
Last NPPES UpdateSeptember 23, 2025
NPPES CertifiedSeptember 23, 2025
✔ NPI 1164917787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in MI · 4704250298
1215 E MICHIGAN AVE FL 7, Lansing, MI 48912

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Wendy Wildern 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 ID6800144627
PECOS Enrollment IDI20180809004946
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Wendy Wildern reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nurse Practitioner
1215 E MICHIGAN AVE
Lansing, MI 48912
  • Reassigned Medicare billing, Michigan enrollment
  • 916 clinicians in this Medicare group
Multi-Specialty
901 S OAKLAND ST
Saint Johns, MI 48879
  • Reassigned Medicare billing, Michigan enrollment
  • 114 clinicians in this Medicare group
Rural Health
9751 E GRAND RIVER AVE
Portland, MI 48875
  • Reassigned Medicare billing, Michigan enrollment
  • 317 clinicians in this Medicare group
Internal Medicine
1717 SHAFFER ST, STE 124
Kalamazoo, MI 49048
  • Reassigned Medicare billing, Michigan enrollment
  • Medicare enrollment name: Ascension Medical Group Promed
  • 465 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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
20 services17 patients

Hospital Affiliations CMS Care Compare

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

Edward W Sparrow Hospital

Acute Care Hospitals · Lansing, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230230
Location1215 E Michigan AvenueLansing, MI 48912 · Ingham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48912 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
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

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

Hospitalist
1215 E MICHIGAN AVE FL 7
LANSING, MI 48912

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 Wendy Wildern's NPI number?

The NPI number for Wendy Wildern is 1164917787. It was assigned to this individual provider in the NPPES registry on June 26, 2018.

Where is Wendy Wildern located?

Wendy Wildern practices at 1215 E Michigan Ave Fl 7, Lansing, MI 48912. The listed phone number is (517) 364-3380.

What is Wendy Wildern's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Wendy Wildern enrolled in Medicare?

Yes. Wendy Wildern 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.

Which organizations bill Medicare for Wendy Wildern's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Wendy Wildern reassigns Medicare benefits to 4 organizations: Edward W Sparrow Hospital Association (Lansing, MI), Sparrow Clinton Hospital (Saint Johns, MI), Sparrow Ionia Hospital (Portland, MI) and Beacon Medical Group Michigan Inc (Kalamazoo, MI). 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 Wendy Wildern's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Wendy Wildern accept?

Health plans from Priority Health list Wendy Wildern 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 Wendy Wildern affiliated with any hospitals?

According to CMS data, Wendy Wildern is affiliated with Edward W Sparrow Hospital.

When was this NPI record last updated?

The NPPES record for Wendy Wildern was last updated on September 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.