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

Q: 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.

Q: What is Mary Wildeman's specialty?

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

Q: 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 5 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.

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: October 18, 2026.

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

On this page

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

Phone(615) 436-9060

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

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

Medicare enrollment records show Mary Wildeman reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Abode Care Partners Al Vb, LLC

261 mi

Nurse Practitioner

11595 N MERIDIAN ST STE 515
Carmel, IN 46032

Reassigned Medicare billing, Indiana enrollment
20 clinicians in this Medicare group

NPI 1558130922 (800) 807-6555

Abode Care Partners Ltc Vb, LLC

261 mi

Nurse Practitioner

11595 N MERIDIAN ST STE 515
Carmel, IN 46032

Reassigned Medicare billing, Indiana enrollment
20 clinicians in this Medicare group

NPI 1538938709 (800) 807-6555

Indiana Home Based Primary Care PC

261 mi

Primary Care

11595 N MERIDIAN ST STE 515
Carmel, IN 46032

Reassigned Medicare billing, Indiana enrollment
9 clinicians in this Medicare group

NPI 1578205548 (800) 807-6555

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

DESTINEE RENEE OGEA

Nurse Practitioner (Acute Care)