AMBER LOCKLEAR WILDER PA-C
NPI 1720858269
Physician Assistant - Medical in New Haven, CT

Active since January 05, 2024PECOS EnrolledAccepts Medicare Assignment
1450 CHAPEL ST, NEW HAVEN, CT 06511(203) 789-3000 Get Directions Write a Review

NPPES record last updated: March 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amber Locklear Wilder Pa-c NPPES

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

AMBER LOCKLEAR WILDER PA-C (NPI 1720858269) is an individual medical provider in New Haven, Connecticut, licensed in Connecticut (6483) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1720858269
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameAMBER LOCKLEAR WILDERCredential: PA-C
Location Address1450 CHAPEL STNew Haven, CT 06511-4405
Mailing Address43 Chestnut St Unit 109New Haven, CT 06511-5731 · (843) 276-2670
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJanuary 5, 2024
Last NPPES UpdateMarch 15, 2024
NPPES CertifiedMarch 15, 2024
NPI 1720858269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in CT · 6483
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 6483 (CT)
Also ListedPhysician AssistantTaxonomy 363A00000X
1450 CHAPEL ST, New Haven, CT 06511

Other Names 1

Former Name (1)Amber Kaitlin Locklear

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

Amber Locklear Wilder Pa-c 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.

PECOS PAC ID4880033836
PECOS Enrollment IDI20240423003997
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.

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.

Radiology (Therapeutic Radiology)
1450 CHAPEL ST
NEW HAVEN, CT 06511
Internal Medicine
1450 CHAPEL ST, HAELEN CENTER
NEW HAVEN, CT 06511
Pharmacist (Pharmacotherapy)
1450 CHAPEL ST
NEW HAVEN, CT 06511
Physician Assistant
1450 CHAPEL ST
NEW HAVEN, CT 06511
Speech-Language Pathologist
1450 CHAPEL ST
NEW HAVEN, CT 06511
Radiology (Diagnostic Radiology)
1450 CHAPEL ST
NEW HAVEN, CT 06511
Physician Assistant (Medical)
1450 CHAPEL ST
NEW HAVEN, CT 06511
Internal Medicine
1450 CHAPEL ST, ADULT PRIMARY CARE CENTER
NEW HAVEN, CT 06511

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 Amber Wilder's NPI number?

The NPI number for Amber Wilder is 1720858269. It was assigned to this individual provider in the NPPES registry on January 5, 2024. The provider is also known as Amber Kaitlin Locklear.

Where is Amber Wilder located?

Amber Wilder practices at 1450 Chapel St, New Haven, CT 06511. The listed phone number is (203) 789-3000.

What is Amber Wilder's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Amber Wilder enrolled in Medicare?

Yes. Amber Wilder 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 Amber Wilder was last updated on March 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.