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DR. ELAINA CONSTANCE WILD ELAINA WILD
NPI 1245558527
Family Medicine in Colorado Springs, CO

Active since May 11, 2010PECOS Enrolled
21ST MDG 559 VINCENT STREET PAFB, COLORADO SPRINGS, CO 80914(402) 294-2056 Get Directions Write a Review

NPPES record last updated: June 9, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 9, 2022, Nov 5, 2019 (2 updates tracked since 2019).

About Dr. Elaina Constance Wild Elaina Wild NPPES

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

DR. ELAINA CONSTANCE WILD ELAINA WILD (NPI 1245558527) is an individual family medicine provider in Colorado Springs, Colorado, licensed in Nebraska (30995) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS and maintains a secondary practice location in Omaha.

NPPES Registry Identity

NPI1245558527
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ELAINA CONSTANCE WILDCredential: ELAINA WILD
Location Address21ST MDG 559 VINCENT STREET PAFBColorado Springs, CO 80914-1540
Mailing Address21st Mdg 559 Vincent Street PafbColorado Springs, CO 80914-1540 · (719) 556-5898
Phone(402) 294-2056
Sole ProprietorNo
Enumeration DateMay 11, 2010
Last NPPES UpdateJune 9, 20222 updates tracked since enumeration
NPPES CertifiedJune 3, 2022
✔ NPI 1245558527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in NE · 30995✔ Licensed in IN · 01071051A
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
21ST MDG 559 VINCENT STREET PAFB, Colorado Springs, CO 80914
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Secondary Practice Location 1

Location 12501 Capehart RdOmaha, NE 68113 · Phone (402) 294-2056

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Elaina Constance Wild Elaina Wild is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Elaina Wild reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Unmc Physicians
490 mi
Multi-Specialty
988102 NEBRASKA MEDICAL CTR
Omaha, NE 68198
  • Reassigned Medicare billing, Nebraska enrollment
  • 2,154 clinicians in this Medicare group
NPI 1417912114 (402) 552-3739

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80914 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

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 Elaina Wild's NPI number?

The NPI number for Elaina Wild is 1245558527. It was assigned to this individual provider in the NPPES registry on May 11, 2010.

Where is Elaina Wild located?

Elaina Wild practices at 21st Mdg 559 Vincent Street Pafb, Colorado Springs, CO 80914. The listed phone number is (402) 294-2056.

What is Elaina Wild's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Elaina Wild enrolled in Medicare?

Yes. Elaina Wild is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Elaina Wild's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elaina Wild reassigns Medicare benefits to Unmc Physicians (Omaha, NE). The 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 Elaina Wild's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Elaina Wild was last updated on June 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.