ANNA L WILDERMUTH MD
NPI 1255391066
Pediatrics in Lafayette, IN

Q: What is Anna Wildermuth's NPI number?

The NPI number for Anna Wildermuth is 1255391066. It was assigned to this individual provider in the NPPES registry on March 24, 2006.

Q: What is Anna Wildermuth's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Anna Wildermuth was last updated on March 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 March 24, 2006

3774 BAYLEY DR, SUITE B, LAFAYETTE, IN 47905(765) 807-8180(765) 807-8181 Get Directions Write a Review

NPPES record last updated: March 23, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 23, 2021, Jun 15, 2020, Sep 12, 2016 (3 updates tracked since 2016).

On this page

About Anna L Wildermuth Md NPPES

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

ANNA L WILDERMUTH MD (NPI 1255391066) is an individual pediatrics provider in Lafayette, Indiana, licensed in Indiana (01043677A) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1255391066

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameANNA L WILDERMUTHCredential: MD

Location Address3774 BAYLEY DR, SUITE BLafayette, IN 47905-8651

Mailing AddressPo Box 4699Lafayette, IN 47903-4699 · (765) 449-2732 · Fax (765) 449-1196

Phone(765) 807-8180

Fax(765) 807-8181

Sole ProprietorNo

Enumeration DateMarch 24, 2006

Last NPPES UpdateMarch 23, 20213 updates tracked since enumeration

NPPES CertifiedMarch 23, 2021

✔ NPI 1255391066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in IN · 01043677A

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

3774 BAYLEY DR, Lafayette, IN 47905

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Other Identifiers 2

Other000000184181IN · Anthem

Medicaid200028720IN

Other Providers at the Same Location NPPES 12

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

LAFAYETTE WOMENS HEALTH

Obstetrics & Gynecology

3774 BAYLEY DR, SUITE B
LAFAYETTE, IN 47905

Tippecanoe County (765) 807-2280

KRISTIN DITTMER

Registered Nurse (Lactation Consultant)

3774 BAYLEY DR, SUITE A
LAFAYETTE, IN 47905

Tippecanoe County (765) 807-8180

UNITY HEALTHCARE, LLC

Family Medicine

3774 BAYLEY DR, SUITE A
LAFAYETTE, IN 47905

Tippecanoe County (765) 446-5417

KRISTYN ZUNDO NP

Nurse Practitioner (Pediatrics)

3774 BAYLEY DR, SUITE B
LAFAYETTE, IN 47905

Tippecanoe County (765) 807-8180

GLENDA CLOSSIN

Registered Nurse (Lactation Consultant)

3774 BAYLEY DR, STE A
LAFAYETTE, IN 47905

Tippecanoe County (765) 807-8180

ALLISON R AUSTIN NP

Nurse Practitioner

3774 BAYLEY DR, STE B
LAFAYETTE, IN 47905

Tippecanoe County (765) 807-8180

WOMANS HEALTHCARE ASSOCIATES PC

Obstetrics & Gynecology

3774 BAYLEY DR, SUITE B
LAFAYETTE, IN 47905

Tippecanoe County (765) 807-2280

MARITHA ANN JONKMAN MD

Pediatrics

3774 BAYLEY DR, SUITE B
LAFAYETTE, IN 47905

Tippecanoe County (765) 807-8180

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 Anna Wildermuth's NPI number?

The NPI number for Anna Wildermuth is 1255391066. It was assigned to this individual provider in the NPPES registry on March 24, 2006.

Where is Anna Wildermuth located?

Anna Wildermuth practices at 3774 Bayley Dr Suite B, Lafayette, IN 47905. The listed phone number is (765) 807-8180.

What is Anna Wildermuth's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Anna Wildermuth was last updated on March 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.