MATTHEW JAMES WILD NURSE PRACTITIONER
NPI 1295351757
Nurse Practitioner - Psychiatric/Mental Health in Los Angeles, CA
About Matthew James Wild Nurse Practitioner NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MATTHEW JAMES WILD NURSE PRACTITIONER (NPI 1295351757) is an individual psychiatric/mental health provider in Los Angeles, California, licensed in California (95024881) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Matthew James Wild Nurse Practitioner 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.
Medicare Billing Reassignment
Medicare enrollment records show Matthew Wild reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Los Angeles, CA 90029
- Reassigned Medicare billing, California enrollment
- 138 clinicians in this Medicare group
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 90029 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOS ANGELES, CA 90029
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 Matthew Wild's NPI number?
The NPI number for Matthew Wild is 1295351757. It was assigned to this individual provider in the NPPES registry on June 22, 2020.
Where is Matthew Wild located?
Matthew Wild practices at 954 N Vermont Ave, Los Angeles, CA 90029. The listed phone number is (562) 867-7999.
What is Matthew Wild's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Matthew Wild enrolled in Medicare?
Yes. Matthew Wild 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.
Which organization bills Medicare for Matthew Wild's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Wild reassigns Medicare benefits to Jwch Institute, Inc. (Los Angeles, CA). 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 Matthew 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 Matthew Wild was last updated on August 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Matthew James Wild, NURSE PRACTITIONER · NPI 1295351757
Psychiatric/Mental Health physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since June 22, 2020.
## Identity
- **NPI:** 1295351757 (Entity type: Individual)
- **Enumerated:** June 22, 2020
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 95024881 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 954 N VERMONT AVE, Los Angeles, CA 90029-3529
- **Phone:** (562) 867-7999
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Jwch Institute, Inc. (NPI 1598829350, Los Angeles, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** August 30, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1295351757) · Data from the CMS NPPES public registry.