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JACOB RYAN WILDHAGEN
NPI 1801506407
Case Manager/Care Coordinator in Kingsford, MI

Active since December 05, 2022
715 PYLE DR, KINGSFORD, MI 49802(906) 774-0522 Get Directions Write a Review

NPPES record last updated: December 5, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacob Ryan Wildhagen NPPES

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

JACOB RYAN WILDHAGEN (NPI 1801506407) is an individual case manager/care coordinator provider in Kingsford, Michigan and active in the NPI registry since December 2022.

NPPES Registry Identity

NPI1801506407
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameJACOB RYAN WILDHAGEN
Location Address715 PYLE DRKingsford, MI 49802-4456
Mailing Address715 Pyle DrKingsford, MI 49802-4456 · (906) 774-0522
Phone(906) 774-0522
Sole ProprietorNo
Enumeration DateDecember 5, 2022
NPPES CertifiedDecember 5, 2022
✔ NPI 1801506407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
715 PYLE DR, Kingsford, MI 49802
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Other Identifiers 1

Medicaid1205864881MI

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.

JENNIFER CESCOLINI
Registered Nurse (Administrator)
715 PYLE DR
KINGSFORD, MI 49802
Dickinson County (906) 774-0522
LAUREN JANE BAL LBSW
Social Worker
715 PYLE DR
KINGSFORD, MI 49802
Dickinson County (906) 774-0522
THERESA JEAN HARVEY RN
Registered Nurse (Psychiatric/Mental Health)
715 PYLE DR
KINGSFORD, MI 49802
Dickinson County (906) 774-0522
DOMINIQUE GOLDEN
Social Worker (Clinical)
715 PYLE DR
KINGSFORD, MI 49802
Dickinson County (906) 774-0522
SAMANTHA MASSEY
Behavior Technician
715 PYLE DR
KINGSFORD, MI 49802
Dickinson County (906) 774-0522
AMANDA SWENTY
Registered Nurse
715 PYLE DR
KINGSFORD, MI 49802
Dickinson County (906) 774-0522
KELSEY PONTBRIAND
Speech-Language Pathologist
715 PYLE DR
KINGSFORD, MI 49802
Dickinson County (906) 774-0522
ELIZABETH MARIE WILMERS
Social Worker
715 PYLE DR
KINGSFORD, MI 49802
Dickinson County (906) 774-0522

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 Jacob Wildhagen's NPI number?

The NPI number for Jacob Wildhagen is 1801506407. It was assigned to this individual provider in the NPPES registry on December 5, 2022.

Where is Jacob Wildhagen located?

Jacob Wildhagen practices at 715 Pyle Dr, Kingsford, MI 49802. The listed phone number is (906) 774-0522.

What is Jacob Wildhagen's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Jacob Wildhagen was last updated on December 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.