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JENNIFER MARIE WILD MD
NPI 1588953582
Pediatrics in Everett, WA

Active since March 31, 2011PECOS Enrolled
12800 BOTHELL EVERETT HWY, EVERETT, WA 98208(425) 316-5188(425) 225-1005 Get Directions Write a Review

NPPES record last updated: April 29, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Jennifer Marie Wild Md NPPES

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

JENNIFER MARIE WILD MD (NPI 1588953582) is an individual pediatrics provider in Everett, Washington, licensed in Washington (MD 60455588) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1588953582
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameJENNIFER MARIE WILDCredential: MD
Location Address12800 BOTHELL EVERETT HWYEverett, WA 98208-6642
Mailing AddressPo Box 3360Portland, OR 97208-3360 · (866) 366-2983
Phone(425) 316-5188
Fax(425) 225-1005
Sole ProprietorNo
Enumeration DateMarch 31, 2011
Last NPPES UpdateApril 29, 2021
NPPES CertifiedApril 29, 2021
✔ NPI 1588953582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in WA · MD 60455588
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
12800 BOTHELL EVERETT HWY, Everett, WA 98208
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Marie Wild 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 Reassignments

3

Medicare enrollment records show Jennifer Wild reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Providence Health & Services - Washington
Same address
General Practice
12800 BOTHELL EVERETT HWY, SUITE 120
Everett, WA 98208
  • Reassigned Medicare billing, Washington enrollment
  • 705 clinicians in this Medicare group
NPI 1013169507 (425) 316-5150
Association Of Chmc And University Physicians
16 mi
Trauma Surgery
4800 SAND POINT WAY NE
Seattle, WA 98105
  • Reassigned Medicare billing, Washington enrollment
  • Medicare enrollment name: The Association Of Chrmc And University Physicians
  • 1,443 clinicians in this Medicare group
NPI 1649497827 (206) 987-2000
Seattle Children's Hospital
16 mi
Specialist
4800 SAND POINT WAY NE
Seattle, WA 98105
  • Reassigned Medicare billing, Washington enrollment
  • Medicare enrollment name: Seattle Childrens Hospital
  • 912 clinicians in this Medicare group
NPI 1003319500 (206) 987-2000

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 98208 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

DR. TASNEEM ABBAS SHIKARY MD
Otolaryngology
12800 BOTHELL EVERETT HWY
EVERETT, WA 98208
Snohomish County (425) 316-5100
PROVIDENCE HEALTH & SERVICES - WASHINGTON
General Practice
12800 BOTHELL EVERETT HWY, SUITE 120
EVERETT, WA 98208
Snohomish County (425) 316-5150
RANDALL S. REIMER MD
Internal Medicine
12800 BOTHELL EVERETT HWY, SUITE 180
EVERETT, WA 98208
Snohomish County (425) 316-5130
THERESA MARIE SKURNIK ARNP
Nurse Practitioner
12800 BOTHELL EVERETT HWY
EVERETT, WA 98208
Snohomish County (425) 316-5150
CARL GANNON PA
Nurse Practitioner (Family)
12800 BOTHELL EVERETT HWY
EVERETT, WA 98208
Snohomish County (425) 316-5180
LEE R ARGUE MD
Family Medicine
12800 BOTHELL EVERETT HWY, SUITE 160
EVERETT, WA 98208
Snohomish County (425) 316-5180
GARY DALE MONTGOMERY PA-C
Physician Assistant
12800 BOTHELL EVERETT HWY, STE A
EVERETT, WA 98208
Snohomish County (425) 316-5150
DAVID L. ERICKSON MD
Internal Medicine
12800 BOTHELL EVERETT HWY, SUITE 120
EVERETT, WA 98208
Snohomish County (425) 316-5150

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 Wild's NPI number?

The NPI number for Jennifer Wild is 1588953582. It was assigned to this individual provider in the NPPES registry on March 31, 2011.

Where is Jennifer Wild located?

Jennifer Wild practices at 12800 Bothell Everett Hwy, Everett, WA 98208. The listed phone number is (425) 316-5188.

What is Jennifer Wild's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Jennifer Wild enrolled in Medicare?

Yes. Jennifer Wild is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jennifer Wild's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Wild reassigns Medicare benefits to 3 organizations: Providence Health & Services - Washington (Everett, WA), Association Of Chmc And University Physicians (Seattle, WA) and Seattle Children's Hospital (Seattle, WA). Each 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 Jennifer Wild's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jennifer Wild accept?

Health plans from Ambetter Health and Premera Blue Cross Blue Shield of Alaska list Jennifer Wild as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jennifer Wild was last updated on April 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.