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MRS. JACKI L WILDEMAN ARNP
NPI 1184672628
Nurse Practitioner in Newburgh, IN

Active since May 05, 2006
76.19/100
CMS Quality Rating
4007 GATEWAY BLVD # 100, NEWBURGH, IN 47630(812) 842-0907(812) 490-7054 Get Directions Write a Review

NPPES record last updated: December 6, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 6, 2019, Dec 20, 2017 (2 updates tracked since 2017).

About Mrs. Jacki L Wildeman Arnp NPPES

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

MRS. JACKI L WILDEMAN ARNP (NPI 1184672628) is an individual nurse practitioner in Newburgh, Indiana, licensed in Indiana (71001467A) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1184672628
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. JACKI L WILDEMANCredential: ARNP
Location Address4007 GATEWAY BLVD # 100Newburgh, IN 47630-8947
Mailing Address4015 Gateway Blvd Ste 2120Newburgh, IN 47630-9460 · (812) 842-0907 · Fax (812) 464-4485
Phone(812) 842-0907
Fax(812) 490-7054
Sole ProprietorNo
Enumeration DateMay 5, 2006
Last NPPES UpdateDecember 6, 20192 updates tracked since enumeration
✔ NPI 1184672628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IN · 71001467A
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 28079891A (IN), 71001467A (IN), 309002150 (IL), 3899P (KY)
4007 GATEWAY BLVD # 100, Newburgh, IN 47630
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Other Identifiers 3

Medicaid200427140IN
Other000000270530Anthem
Medicaid78009586KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.05
Promoting Interoperability100
Improvement Activities40
Cost52.58

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 Jacki Wildeman's NPI number?

The NPI number for Jacki Wildeman is 1184672628. It was assigned to this individual provider in the NPPES registry on May 5, 2006.

Where is Jacki Wildeman located?

Jacki Wildeman practices at 4007 Gateway Blvd # 100, Newburgh, IN 47630. The listed phone number is (812) 842-0907.

What is Jacki Wildeman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

What insurance does Jacki Wildeman accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Jacki Wildeman 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 Jacki Wildeman was last updated on December 6, 2019. 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.