1. Home
  2. Directory
  3. Colorado
  4. Aurora
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

JAYSON FREDRICK WILD MD
NPI 1780471045
Student in an Organized Health Care Education/Training Program in Aurora, CO

Active since April 21, 2025PECOS Enrolled
1890 N REVERE CT STE 4100, AURORA, CO 80045(303) 724-6019 Get Directions Write a Review

NPPES record last updated: April 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jayson Fredrick Wild Md NPPES

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

JAYSON FREDRICK WILD MD (NPI 1780471045) is an individual student in an organized health care education/training program in Aurora, Colorado and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780471045
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJAYSON FREDRICK WILDCredential: MD
Location Address1890 N REVERE CT STE 4100Aurora, CO 80045-7464
Mailing Address1890 N Revere Ct Ste 4100Aurora, CO 80045-7464 · (303) 724-6019
Phone(303) 724-6019
Sole ProprietorNo
Enumeration DateApril 21, 2025
NPPES CertifiedApril 21, 2025
✔ NPI 1780471045 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.
1890 N REVERE CT STE 4100, Aurora, CO 80045
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jayson Fredrick 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.

Other Providers at the Same Location NPPES 16

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

DR. ARJUN VADLAMUDI MD
Student in an Organized Health Care Education/Training Program
1890 N REVERE CT STE 4100
AURORA, CO 80045
Adams County (303) 724-6019
DR. JAY KEITH DAVIS II MD
Psychiatry & Neurology (Psychiatry)
1890 N REVERE CT STE 4100
AURORA, CO 80045
Adams County (303) 724-6019
ALEXANDRIA KOLENDA MD
Student in an Organized Health Care Education/Training Program
1890 N REVERE CT STE 4100
AURORA, CO 80045
Adams County (303) 724-6019
REED CAMPBELL
Student in an Organized Health Care Education/Training Program
1890 N REVERE CT STE 4100
AURORA, CO 80045
Adams County (303) 724-6019
WILLIAM HENRY HEROLD MD
Student in an Organized Health Care Education/Training Program
1890 N REVERE CT STE 4100
AURORA, CO 80045
Adams County (303) 724-6019
KAREEM ZUHDI
Student in an Organized Health Care Education/Training Program
1890 N REVERE CT STE 4100
AURORA, CO 80045
Adams County (303) 724-6021
ZACHARY SETH WICKLINE DO
Psychiatry & Neurology (Psychiatry)
1890 N REVERE CT STE 4100
AURORA, CO 80045
Adams County (303) 724-6021
DR. JACLYN MARIA BALA MD
Psychiatry & Neurology (Psychiatry)
1890 N REVERE CT STE 4100
AURORA, CO 80045
Adams County (303) 724-6021

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 Jayson Wild's NPI number?

The NPI number for Jayson Wild is 1780471045. It was assigned to this individual provider in the NPPES registry on April 21, 2025.

Where is Jayson Wild located?

Jayson Wild practices at 1890 N Revere Ct Ste 4100, Aurora, CO 80045. The listed phone number is (303) 724-6019.

What is Jayson Wild's specialty?

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

Is Jayson Wild enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jayson Wild was last updated on April 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.