AUDREY ANNE WILDEMAN PA-C
NPI 1437675469
Physician Assistant in Spartanburg, SC

Q: What is Audrey Wildeman's NPI number?

The NPI number for Audrey Wildeman is 1437675469. It was assigned to this individual provider in the NPPES registry on August 22, 2017.

Q: What is Audrey Wildeman's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Audrey Wildeman was last updated on August 22, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since August 22, 2017PECOS Enrolled

99.84/100

CMS Quality Rating

3021 REIDVILLE RD, SPARTANBURG, SC 29301(864) 576-9201(864) 576-6584 Get Directions Write a Review

NPPES record last updated: August 22, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Audrey Anne Wildeman Pa-c NPPES

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

AUDREY ANNE WILDEMAN PA-C (NPI 1437675469) is an individual physician assistant in Spartanburg, South Carolina, licensed in South Carolina (2742) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1437675469

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameAUDREY ANNE WILDEMANCredential: PA-C

Location Address3021 REIDVILLE RDSpartanburg, SC 29301-5643

Mailing Address3021 Reidville RdSpartanburg, SC 29301-5643 · (864) 576-9201 · Fax (864) 576-6584

Phone(864) 576-9201

Fax(864) 576-6584

Sole ProprietorNo

Enumeration DateAugust 22, 2017

✔ NPI 1437675469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in SC · 2742

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

3021 REIDVILLE RD, Spartanburg, SC 29301

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include First Choice Next, InStil Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Audrey Anne Wildeman Pa-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29301 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$67.12 typical visit price

range $16.96 – $133.52

Typical copayment $16.78 (range $4.24 – $33.38)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

99.84/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

99.68

Improvement Activities

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.

FAMILY PHYSICIANS OF SPARTENBURG, PC

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