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DIANE M WILD CRNA
NPI 1255439782
Nurse Anesthetist, Certified Registered in Saint Paul, MN

Active since September 20, 2006PECOS Enrolled
333 SMITH AVE N, SAINT PAUL, MN 55102(651) 735-0501(651) 735-1870 Get Directions Write a Review

NPPES record last updated: October 7, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Diane M Wild Crna NPPES

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

DIANE M WILD CRNA (NPI 1255439782) is an individual nurse anesthetist, certified registered in Saint Paul, Minnesota, licensed in Minnesota (R1201400) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255439782
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameDIANE M WILDCredential: CRNA
Location Address333 SMITH AVE NSaint Paul, MN 55102-2344
Mailing Address8681 Eagle Point BlvdLake Elmo, MN 55042-8628 · (651) 251-8021 · Fax (651) 251-8050
Phone(651) 735-0501
Fax(651) 735-1870
Sole ProprietorNo
Enumeration DateSeptember 20, 2006
Last NPPES UpdateOctober 7, 2010
✔ NPI 1255439782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in MN · R1201400
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
333 SMITH AVE N, Saint Paul, MN 55102
Open in Google Maps ↗

Other Identifiers 2

Medicare ID-Type Unspecified430005130MN
Medicaid564103900MN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Diane M Wild Crna 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 Reassignments

3

Medicare enrollment records show Diane Wild reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Certified Anesthesia Care, Co.
14 mi
Nurse Anesthetist, Certified Registered
2950 CURVE CREST BLVD W
Stillwater, MN 55082
  • Reassigned Medicare billing, Minnesota enrollment
  • 131 clinicians in this Medicare group
NPI 1699736348 (888) 209-0305
Metropolitan Anesthesia Network, LLP
18 mi
Anesthesiology
14700 28TH AVE N, SUITE 20
Plymouth, MN 55447
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,033 clinicians in this Medicare group
NPI 1558314427 (763) 559-3779
St Cloud Outpatient Surgery Ltd
68 mi
Ambulatory Surgical
1526 NORTHWAY DR
Saint Cloud, MN 56303
  • Reassigned Medicare billing, Minnesota enrollment
  • 40 clinicians in this Medicare group
NPI 1124084843 (320) 251-8385

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 55102 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

ROBERT A LAMPPA CRNA
Nurse Anesthetist, Certified Registered
333 SMITH AVE N
ST PAUL, MN 55102
Ramsey County (651) 735-0501
DALE H MCHUGH CRNA
Nurse Anesthetist, Certified Registered
333 SMITH AVE N
SAINT PAUL, MN 55102
Ramsey County (651) 735-0501
MS. ELIZABETH KOPF MA CCC-SLP
Speech-Language Pathologist
333 SMITH AVE N
SAINT PAUL, MN 55102
Ramsey County (651) 241-8074
DR. KATHERINE GLASRUD MD
Emergency Medicine
333 SMITH AVE N
SAINT PAUL, MN 55102
Ramsey County (612) 863-6590
DR. BRIAN THOMAS GOOLEY MD
Emergency Medicine
333 SMITH AVE N
SAINT PAUL, MN 55102
Ramsey County (651) 241-8755
DR. HEATHER ROBBINS DPT
Physical Therapist (Geriatrics)
333 SMITH AVE N
SAINT PAUL, MN 55102
Ramsey County (651) 241-8290
SAMANTHA SWANHORST
Physician Assistant
333 SMITH AVE N
SAINT PAUL, MN 55102
Ramsey County (651) 241-8000
DR. MARK T DESTACHE MD
Anesthesiology
333 SMITH AVE N
SAINT PAUL, MN 55102
Ramsey County (651) 735-0501

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 Diane Wild's NPI number?

The NPI number for Diane Wild is 1255439782. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Diane Wild located?

Diane Wild practices at 333 Smith Ave N, Saint Paul, MN 55102. The listed phone number is (651) 735-0501.

What is Diane Wild's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Diane Wild enrolled in Medicare?

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

Which organizations bill Medicare for Diane Wild's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Diane Wild reassigns Medicare benefits to 3 organizations: Certified Anesthesia Care, Co. (Stillwater, MN), Metropolitan Anesthesia Network, LLP (Plymouth, MN) and St Cloud Outpatient Surgery Ltd (Saint Cloud, MN). Each 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 Diane 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 Diane Wild was last updated on October 7, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.