JENNA KAYE WILDMAN M.D.
NPI 1174942064
Obstetrics & Gynecology in Charleston, SC

Q: What is Jenna Wildman's NPI number?

The NPI number for Jenna Wildman is 1174942064. It was assigned to this individual provider in the NPPES registry on April 8, 2014.

Q: What is Jenna Wildman'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 Jenna Wildman was last updated on July 13, 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.

Active since April 08, 2014PECOS EnrolledAccepts Medicare Assignment

2095 HENRY TECKLENBURG DR, CHARLESTON, SC 29414(843) 789-1892(843) 606-8036 Get Directions Write a Review

NPPES record last updated: July 13, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jenna Kaye Wildman M.d. NPPES

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

JENNA KAYE WILDMAN M.D. (NPI 1174942064) is an individual obstetrics & gynecology provider in Charleston, South Carolina, licensed in South Carolina (81716) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS and is a graduate of Jc Edwards School Of Medicine, Marshall University (2014).

NPPES Registry Identity

NPI1174942064

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameJENNA KAYE WILDMANCredential: M.D.

Location Address2095 HENRY TECKLENBURG DRCharleston, SC 29414-5733

Mailing AddressPo Box 751649Charlotte, NC 28275-1649 · (251) 415-8602

Phone(843) 789-1892

Fax(843) 606-8036

Sole ProprietorNo

Medical School CMSJc Edwards School Of Medicine, Marshall UniversityGraduated 2014

Enumeration DateApril 8, 2014

Last NPPES UpdateJuly 13, 2020

NPPES CertifiedJuly 13, 2020

✔ NPI 1174942064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in SC · 81716

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.

2095 HENRY TECKLENBURG DR, Charleston, SC 29414

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Other Identifiers 1

Medicaid817166SC

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

Jenna Kaye Wildman M.d. 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 ID4082913686

PECOS Enrollment IDI20200415002974

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 29414 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

$124.04 typical visit price

range $53.57 – $163.84

Typical copayment $31.01 (range $13.39 – $40.96)

Most-billed visit code 99204

Established Patient

$67.12 typical visit price

range $16.96 – $133.52

Typical copayment $16.78 (range $4.24 – $33.38)

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.

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.

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