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JEREMY WILDER M.D.
NPI 1780070797
Student in an Organized Health Care Education/Training Program in Morgantown, WV

Active since April 07, 2015PECOS Enrolled
1 MEDICAL CENTER DRIVE, MORGANTOWN, WV 26505(304) 293-1198(304) 293-1216 Get Directions Write a Review

NPPES record last updated: April 7, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jeremy Wilder M.d. NPPES

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

JEREMY WILDER M.D. (NPI 1780070797) is an individual student in an organized health care education/training program in Morgantown, West Virginia and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780070797
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJEREMY WILDERCredential: M.D.
Location Address1 MEDICAL CENTER DRIVEMorgantown, WV 26505
Mailing Address1113 Miller St Apt 2Johnson City, TN 37604-4388 · (828) 606-6807
Phone(304) 293-1198
Fax(304) 293-1216
Sole ProprietorNo
Enumeration DateApril 7, 2015
✔ NPI 1780070797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1 MEDICAL CENTER DRIVE, Morgantown, WV 26505
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeremy Wilder M.d. 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.

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. MOHAMMED ALMUBARAK MD
Internal Medicine (Hematology & Oncology)
1 MEDICAL CENTER DRIVE
MORGANTOWN, WV 26505
Monongalia County (304) 293-4229
LINDA PATRICK SLP
Speech-Language Pathologist
1 MEDICAL CENTER DRIVE
MORGANTOWN, WV 26505
Monongalia County (304) 598-4118
MRS. NICOLE POZUN APP
Nurse Practitioner
1 MEDICAL CENTER DRIVE
MORGANTOWN, WV 26505
Monongalia County (304) 598-4000
PHYSICIANS OFFICE CENTER
Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER DRIVE
MORGANTOWN, WV 26505
Monongalia County (304) 293-7401
DR. SHASHANK PONUGOTI MD
Internal Medicine
1 MEDICAL CENTER DRIVE
MORGANTOWN, WV 26505
Monongalia County (304) 293-1964
KAYLEIGH BURNER APRN
Nurse Practitioner (Family)
1 MEDICAL CENTER DRIVE
MORGANTOWN, WV 26505
Monongalia County (304) 598-4800
SAMANTHA HALL NP-C
Nurse Practitioner (Family)
1 MEDICAL CENTER DRIVE
MORGANTOWN, WV 26505
Monongalia County (304) 598-4500
DR. JARED FOX PHARMD
Pharmacist
1 MEDICAL CENTER DRIVE, RUBY MEMORIAL HOSPITAL
MORGANTOWN, WV 26505
Monongalia County (304) 598-8316

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 Jeremy Wilder's NPI number?

The NPI number for Jeremy Wilder is 1780070797. It was assigned to this individual provider in the NPPES registry on April 7, 2015.

Where is Jeremy Wilder located?

Jeremy Wilder practices at 1 Medical Center Drive, Morgantown, WV 26505. The listed phone number is (304) 293-1198.

What is Jeremy Wilder's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jeremy Wilder enrolled in Medicare?

Yes. Jeremy Wilder is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jeremy Wilder was last updated on April 7, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.