1. Home
  2. Directory
  3. Arizona
  4. Sedona
  5. Nurse Practitioner
  6. NPI Profile

MRS. JEANIE M WILDES NP
NPI 1245390376
Nurse Practitioner - Primary Care in Sedona, AZ

Active since December 11, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 03D2274262 · Microscopy
56.74/100
CMS Quality Rating
6446 STATE ROUTE 179 STE 209, SEDONA, AZ 86351(928) 204-4900(928) 204-4905 Get Directions Write a Review

NPPES record last updated: April 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 25, 2024, Aug 9, 2022 (2 updates tracked since 2022).

About Mrs. Jeanie M Wildes Np NPPES

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

MRS. JEANIE M WILDES NP (NPI 1245390376) is an individual primary care provider in Sedona, Arizona, licensed in Arizona (AP1131) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS, holds a CLIA Microscopy certificate valid through December 28, 2026, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1245390376
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameMRS. JEANIE M WILDESCredential: NP
Location Address6446 STATE ROUTE 179 STE 209Sedona, AZ 86351-7991
Mailing Address6446 State Route 179 Ste 209Sedona, AZ 86351-7991 · (928) 204-4900 · Fax (928) 204-4905
Phone(928) 204-4900
Fax(928) 204-4905
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateDecember 11, 2006
Last NPPES UpdateApril 25, 20242 updates tracked since enumeration
NPPES CertifiedApril 25, 2024
✔ NPI 1245390376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in AZ · AP1131
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License AZAP1131 (AZ)
6446 STATE ROUTE 179 STE 209, Sedona, AZ 86351
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc., UnitedHealthcare.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

Mrs. Jeanie M Wildes Np 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 ID1850346818
PECOS Enrollment IDI20050314000347
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 03D2274262

Jeanie Wildes, Np · Sedona, AZ
Active · expires Dec 28, 2026
CLIA Number03D2274262
Laboratory TypePhysician Office
Certificate Effective DateDecember 29, 2024
Certificate Expiration DateDecember 28, 2026
Laboratory DirectorJeanie Wildes
Laboratory Phone(928) 204-4900
Laboratory LocationJeanie Wildes, Np6446 State Rte 179 Ste 209, Sedona, AZ 86351
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Areas of Expertise CMS Part B claims 18

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
502 services279 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
501 services265 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
337 services107 patients
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg J3420
This is a procedure where a small dose of Vitamin B-12, also known as Cyanocobalamin, is injected into your body. This vitamin is essential for nerve function and the production of red blood cells. It's often used to treat vitamin B-12 deficiency.
206 services43 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
175 services175 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
128 services110 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86351 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

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.

56.74/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality90
Improvement Activities0
Cost69.14

Referred Medical Equipment & Supplies CMS DME claims 15

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers13 claims42 services$6.63 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409
DME-Orthotic Devices · category DF010N
2 suppliers12 claims155 services$5.42 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
5 suppliers33 claims33 services$37.00 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers17 claims17 services$79.54 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers20 claims52 services$33.16 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
3 suppliers21 claims21 services$53.76 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

DR. MEGAN BROOKING BOOTH AUD
Audiologist
6446 STATE ROUTE 179 STE 209
SEDONA, AZ 86351
Yavapai County (928) 284-2116
MEGAN BOOTH LLC
Clinic/Center (Hearing and Speech)
6446 STATE ROUTE 179 STE 209
SEDONA, AZ 86351
Yavapai County (928) 284-2116

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 Jeanie Wildes's NPI number?

The NPI number for Jeanie Wildes is 1245390376. It was assigned to this individual provider in the NPPES registry on December 11, 2006.

Where is Jeanie Wildes located?

Jeanie Wildes practices at 6446 State Route 179 Ste 209, Sedona, AZ 86351. The listed phone number is (928) 204-4900.

What is Jeanie Wildes's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Jeanie Wildes enrolled in Medicare?

Yes. Jeanie Wildes 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.

Does Jeanie Wildes hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 03D2274262) is associated with this NPI, valid through December 28, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Jeanie Wildes accept?

Health plans from Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Jeanie Wildes 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 Jeanie Wildes was last updated on April 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.