MARY WILDEMAN
NPI 1790379618
Nurse Practitioner - Family in Nashville, TN

Active since February 22, 2021PECOS Enrolled
501 GREAT CIRCLE RD FL 3, NASHVILLE, TN 37228(615) 436-9060(615) 235-9725 Get Directions Write a Review

NPPES record last updated: May 14, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 14, 2026, Jan 7, 2025, Jan 31, 2023 and 1 more (4 updates tracked since 2021).

About Mary Wildeman NPPES

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

MARY WILDEMAN (NPI 1790379618) is an individual family provider in Nashville, Tennessee, licensed in Indiana (28203347A) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790379618
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARY WILDEMAN
Location Address501 GREAT CIRCLE RD FL 3Nashville, TN 37228-1317
Mailing Address10400 Far View DrEvansville, IN 47712-8946 · (812) 306-4757
Fax(615) 235-9725
Sole ProprietorNo
Enumeration DateFebruary 22, 2021
Last NPPES UpdateMay 14, 20264 updates tracked since enumeration
NPPES CertifiedMay 14, 2026
NPI 1790379618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IN · 28203347A
501 GREAT CIRCLE RD FL 3, Nashville, TN 37228

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mary Wildeman 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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
450 services90 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
177 services125 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
163 services111 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
17 services17 patients
Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes 99347
An established patient home visit is a service where a healthcare professional visits your home for a 15-minute check-up. It's designed for patients who have previously seen the professional. The visit may include basic health assessments and discussions about your ongoing care.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37228 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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 20

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

Nurse Practitioner (Adult Health)
501 GREAT CIRCLE RD FL 3
NASHVILLE, TN 37228
Nurse Practitioner (Family)
501 GREAT CIRCLE RD FL 3
NASHVILLE, TN 37228
Nurse Practitioner (Family)
501 GREAT CIRCLE RD FL 3
NASHVILLE, TN 37228
Nurse Practitioner (Family)
501 GREAT CIRCLE RD FL 3
NASHVILLE, TN 37228
Nurse Practitioner (Family)
501 GREAT CIRCLE RD FL 3
NASHVILLE, TN 37228
Nurse Practitioner (Adult Health)
501 GREAT CIRCLE RD FL 3
NASHVILLE, TN 37228
Nurse Practitioner (Family)
501 GREAT CIRCLE RD FL 3
NASHVILLE, TN 37228
Nurse Practitioner (Family)
501 GREAT CIRCLE RD FL 3
NASHVILLE, TN 37228

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 Mary Wildeman's NPI number?

The NPI number for Mary Wildeman is 1790379618. It was assigned to this individual provider in the NPPES registry on February 22, 2021.

Where is Mary Wildeman located?

Mary Wildeman practices at 501 Great Circle Rd Fl 3, Nashville, TN 37228. The listed phone number is (615) 436-9060.

What is Mary Wildeman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Mary Wildeman enrolled in Medicare?

Yes. Mary Wildeman is registered in the Medicare PECOS enrollment system.

What insurance does Mary Wildeman accept?

Health plans from CareSource list Mary Wildeman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mary Wildeman was last updated on May 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.