CHELBI WILDE AGACNP
NPI 1710494562
Nurse Practitioner - Critical Care Medicine in Murray, UT
About Chelbi Wilde Agacnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHELBI WILDE AGACNP (NPI 1710494562) is an individual critical care medicine provider in Murray, Utah, licensed in Utah (314622-4405) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS, is affiliated with Intermountain Medical Center, and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Chelbi Wilde Agacnp 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.
Medicare Billing Reassignment
Medicare enrollment records show Chelbi Wilde reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Murray, UT 84107
- Reassigned Medicare billing, Utah enrollment
- Also billed through NPI 1235664251 (Utah)
- 1,729 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Intermountain Medical Center
Acute Care Hospitals · Murray, UTPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84107 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
SALT LAKE CITY, UT 84107
MURRAY, UT 84107
SALT LAKE CITY, UT 84107
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 Chelbi Wilde's NPI number?
The NPI number for Chelbi Wilde is 1710494562. It was assigned to this individual provider in the NPPES registry on January 2, 2018.
Where is Chelbi Wilde located?
Chelbi Wilde practices at 5121 S Cottonwood St, Murray, UT 84107. The listed phone number is (801) 507-0000.
What is Chelbi Wilde's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Critical Care Medicine, with taxonomy code 363LC0200X.
Is Chelbi Wilde enrolled in Medicare?
Yes. Chelbi Wilde 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.
Which organization bills Medicare for Chelbi Wilde's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Chelbi Wilde reassigns Medicare benefits to Ihc Health Services, Inc. (Murray, UT). The 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 Chelbi Wilde's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Chelbi Wilde affiliated with any hospitals?
According to CMS data, Chelbi Wilde is affiliated with Intermountain Medical Center.
When was this NPI record last updated?
The NPPES record for Chelbi Wilde was last updated on May 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Chelbi Wilde, AGACNP · NPI 1710494562
Critical Care Medicine physician in Murray, Utah. Individual provider, active in the CMS NPPES registry since January 2, 2018.
## Identity
- **NPI:** 1710494562 (Entity type: Individual)
- **Enumerated:** January 2, 2018
- **Primary specialty:** Nurse Practitioner - Critical Care Medicine · taxonomy 363LC0200X
- **State license:** 314622-4405 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 5121 S COTTONWOOD ST, Murray, UT 84107-5701
- **Phone:** (801) 507-0000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Ihc Health Services, Inc. (NPI 1043220650, Murray, UT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** May 12, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1710494562) · Data from the CMS NPPES public registry.