MRS. JENNIFER RANEE DEWILDE DC
NPI 1306905054
Nurse Practitioner - Family in Mahwah, NJ
About Mrs. Jennifer Ranee Dewilde Dc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. JENNIFER RANEE DEWILDE DC (NPI 1306905054) is an individual family provider in Mahwah, New Jersey, licensed in Missouri (F09231068) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 3
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
Mrs. Jennifer Ranee Dewilde Dc 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07430 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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jennifer Dewilde's NPI number?
The NPI number for Jennifer Dewilde is 1306905054. It was assigned to this individual provider in the NPPES registry on December 8, 2006. The provider is also known as Jennifer Ranee Dewilde Fnp.
Where is Jennifer Dewilde located?
Jennifer Dewilde practices at 65 Ramapo Valley Rd Ste 102B, Mahwah, NJ 07430. The listed phone number is (732) 300-0833.
What is Jennifer Dewilde's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jennifer Dewilde enrolled in Medicare?
Yes. Jennifer Dewilde 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 Jennifer Dewilde was last updated on January 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Mrs. Jennifer Ranee Dewilde, DC · NPI 1306905054
Family physician in Mahwah, New Jersey. Individual provider, active in the CMS NPPES registry since December 8, 2006.
## Identity
- **NPI:** 1306905054 (Entity type: Individual)
- **Enumerated:** December 8, 2006
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F09231068 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 65 RAMAPO VALLEY RD STE 102B, Mahwah, NJ 07430-1182
- **Phone:** (732) 300-0833
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** January 13, 2026
- **Other identifiers:** Other 671268 (IL); Medicaid 038010352 (IL); Other 7932010 (IL)
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Source: [NPI Profile](https://npiprofile.com/npi/1306905054) · Data from the CMS NPPES public registry.