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MATTHEW JAMES WILD NURSE PRACTITIONER
NPI 1295351757
Nurse Practitioner - Psychiatric/Mental Health in Los Angeles, CA

Active since June 22, 2020PECOS EnrolledAccepts Medicare Assignment
954 N VERMONT AVE, LOS ANGELES, CA 90029(562) 867-7999 Get Directions Write a Review

NPPES record last updated: August 30, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 30, 2023, Aug 9, 2022, Jun 22, 2020 (3 updates tracked since 2020).

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

NPI1295351757
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMATTHEW JAMES WILDCredential: NURSE PRACTITIONER
Location Address954 N VERMONT AVELos Angeles, CA 90029-3529
Mailing Address5650 Jillson StCommerce, CA 90040-1482 · (562) 867-7999
Phone(562) 867-7999
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 22, 2020
Last NPPES UpdateAugust 30, 20233 updates tracked since enumeration
NPPES CertifiedAugust 30, 2023
✔ NPI 1295351757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in CA · 95024881✔ Licensed in NY · 404299
Also ListedRegistered NurseTaxonomy 163W00000X · License 95325357 (CA), 794010 (NY)
954 N VERMONT AVE, Los Angeles, CA 90029
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID9436532405
PECOS Enrollment IDI20230913001298
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.

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.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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 15

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

MR. MARNEL C. BARADI PA-C
Physician Assistant
954 N VERMONT AVE
LOS ANGELES, CA 90029
Los Angeles County (567) 867-7999
LEO MCLAUGHLIN JR.
Case Manager/Care Coordinator
954 N VERMONT AVE
LOS ANGELES, CA 90029
Los Angeles County (323) 454-4851
DR. JUHI UDDIN D.O.
Pediatrics
954 N VERMONT AVE
LOS ANGELES, CA 90029
Los Angeles County (323) 454-4850
HANNAH REBECCA HOCHMAN SEGAL MD
Internal Medicine
954 N VERMONT AVE
LOS ANGELES, CA 90029
Los Angeles County (562) 867-7999
THERESA WOJCIECHOWSKI LCSW
Social Worker
954 N VERMONT AVE
LOS ANGELES, CA 90029
Los Angeles County (562) 867-7999
MICHAEL MARSHALL WHITED
Nurse Practitioner (Psychiatric/Mental Health)
954 N VERMONT AVE
LOS ANGELES, CA 90029
Los Angeles County (562) 867-7999
CAROL PECKHAM TAYLOR APRN
Nurse Practitioner (Family)
954 N VERMONT AVE
LOS ANGELES, CA 90029
Los Angeles County (866) 733-5924
MRS. GLORIA CHAVEZ
Health Educator
954 N VERMONT AVE
LOS ANGELES, CA 90029
Los Angeles County (323) 454-4860

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.

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 2 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.