JENNIFER WILD D.O.
NPI 1629051628
Family Medicine in Phoenix, AZ

Q: What is Jennifer Wild's NPI number?

The NPI number for Jennifer Wild is 1629051628. It was assigned to this individual provider in the NPPES registry on November 22, 2005. The provider is also known as Jennifer Kraus.

Q: What is Jennifer Wild's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Wild was last updated on May 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 November 22, 2005PECOS Enrolled

3931 E CAMELBACK RD, PHOENIX, AZ 85018(602) 687-7858 Get Directions Write a Review

NPPES record last updated: May 7, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jennifer Wild D.o. NPPES

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

JENNIFER WILD D.O. (NPI 1629051628) is an individual family medicine provider in Phoenix, Arizona, licensed in Arizona (3961) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629051628

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameJENNIFER WILDCredential: D.O.

Location Address3931 E CAMELBACK RDPhoenix, AZ 85018-2609

Mailing Address3931 E Camelback RdPhoenix, AZ 85018-2609 · (602) 687-7858

Phone(602) 687-7858

Sole ProprietorNo

Enumeration DateNovember 22, 2005

Last NPPES UpdateMay 7, 2014

✔ NPI 1629051628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in AZ · 3961

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3931 E CAMELBACK RD, Phoenix, AZ 85018

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Other Names 1

Former Name (1)Jennifer Kraus

Other Identifiers 3

Medicare ID-Type Unspecified105465

Medicaid971623AZ

Medicare UPIN64285

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Wild D.o. 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 85018 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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 4

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

DR. JEFFREY JEROME ZACHER M.D.

Family Medicine

3931 E CAMELBACK RD
PHOENIX, AZ 85018

Maricopa County (602) 687-7858

DRX ARIZONA I, LLC.

Clinic/Center (Urgent Care)

3931 E CAMELBACK RD
PHOENIX, AZ 85018

Maricopa County (877) 474-9379

ELISABETH LEHIGH MIDDLETON PA-C

Physician Assistant

3931 E CAMELBACK RD
PHOENIX, AZ 85018

Maricopa County (602) 687-7858

JASON RICHARD D.O.

Family Medicine

3931 E CAMELBACK RD
PHOENIX, AZ 85018

Maricopa County (602) 687-7858

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 1629051628. It was assigned to this individual provider in the NPPES registry on November 22, 2005. The provider is also known as Jennifer Kraus.

Where is Jennifer Wild located?

Jennifer Wild practices at 3931 E Camelback Rd, Phoenix, AZ 85018. The listed phone number is (602) 687-7858.

What is Jennifer Wild's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jennifer Wild enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jennifer Wild was last updated on May 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.