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NICHOLAS EMIL WILDE MD
NPI 1275283830
Emergency Medicine in Jacksonville, FL

Active since March 26, 2022PECOS Enrolled
841 PRUDENTIAL DR STE 1400, JACKSONVILLE, FL 32207(904) 396-5682 Get Directions Write a Review

NPPES record last updated: June 25, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Nicholas Emil Wilde Md NPPES

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

NICHOLAS EMIL WILDE MD (NPI 1275283830) is an individual emergency medicine provider in Jacksonville, Florida, licensed in Florida (ME171991) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275283830
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameNICHOLAS EMIL WILDECredential: MD
Location Address841 PRUDENTIAL DR STE 1400Jacksonville, FL 32207-8364
Mailing Address841 Prudential Dr Ste 1400Jacksonville, FL 32207-8364 · (904) 396-5682
Phone(904) 396-5682
Sole ProprietorNo
Enumeration DateMarch 26, 2022
Last NPPES UpdateJune 25, 2025
NPPES CertifiedJune 24, 2025
✔ NPI 1275283830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in FL · ME171991
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
841 PRUDENTIAL DR STE 1400, Jacksonville, FL 32207
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicholas Emil Wilde Md 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 Nicholas Wilde reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Emergency Physicians Inc
0.1 mi
Emergency Medicine
800 PRUDENTIAL DR
Jacksonville, FL 32207
  • Reassigned Medicare billing, Florida and Georgia enrollments
  • Also billed through NPI 1477001972 (Georgia)
  • 428 clinicians in this Medicare group
NPI 1285686675 (904) 396-5682

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 32207 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

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.

DEVIN R HORDE PA-C
Physician Assistant
841 PRUDENTIAL DR STE 1400
JACKSONVILLE, FL 32207
Duval County (904) 396-5682
KALEI MARIE ROLLINS DO
Emergency Medicine
841 PRUDENTIAL DR STE 1400
JACKSONVILLE, FL 32207
Duval County (904) 202-2000
JOSEPH PALOPOLI III
Physician Assistant
841 PRUDENTIAL DR STE 1400
JACKSONVILLE, FL 32207
Duval County (904) 396-5682
DR. CHRISTOPHER ORLANDO MD
Family Medicine
841 PRUDENTIAL DR STE 1400
JACKSONVILLE, FL 32207
Duval County (904) 396-5682
STEVEN CHADWICK D.O.
Emergency Medicine
841 PRUDENTIAL DR STE 1400
JACKSONVILLE, FL 32207
Duval County (904) 396-5682
DR. JOSIE M MAIONE-MCMAHON M.D.
Emergency Medicine
841 PRUDENTIAL DR STE 1400
JACKSONVILLE, FL 32207
Duval County (904) 396-5682
HALEY CAIN
Physician Assistant
841 PRUDENTIAL DR STE 1400
JACKSONVILLE, FL 32207
Duval County (904) 396-5682
DR. BENJAMIN WILLIAM WEBSTER M.D.
Emergency Medicine
841 PRUDENTIAL DR STE 1400
JACKSONVILLE, FL 32207
Duval County (904) 396-5682

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 Nicholas Wilde's NPI number?

The NPI number for Nicholas Wilde is 1275283830. It was assigned to this individual provider in the NPPES registry on March 26, 2022.

Where is Nicholas Wilde located?

Nicholas Wilde practices at 841 Prudential Dr Ste 1400, Jacksonville, FL 32207. The listed phone number is (904) 396-5682.

What is Nicholas Wilde's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Nicholas Wilde enrolled in Medicare?

Yes. Nicholas Wilde is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nicholas Wilde's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Wilde reassigns Medicare benefits to Emergency Physicians Inc (Jacksonville, FL). 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 Nicholas Wilde'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 Nicholas Wilde was last updated on June 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.