MRS. CASEY MARIE WILD NP
NPI 1881845980
Nurse Practitioner - Pediatrics in Buffalo, NY

Q: What is Casey Wild's NPI number?

The NPI number for Casey Wild is 1881845980. It was assigned to this individual provider in the NPPES registry on October 7, 2008.

Q: What is Casey Wild's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Casey Wild was last updated on February 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since October 07, 2008PECOS Enrolled

1001 MAIN ST FL 4, BUFFALO, NY 14203(716) 323-0170(716) 323-0297 Get Directions Write a Review

NPPES record last updated: February 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mrs. Casey Marie Wild Np NPPES

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

MRS. CASEY MARIE WILD NP (NPI 1881845980) is an individual pediatrics provider in Buffalo, New York, licensed in New York (381988) and active in the NPI registry since October 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881845980

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameMRS. CASEY MARIE WILDCredential: NP

Location Address1001 MAIN ST FL 4Buffalo, NY 14203-1009

Mailing Address1001 Main St Fl 5Buffalo, NY 14203-1009 · (716) 323-0170 · Fax (716) 323-0297

Phone(716) 323-0170

Fax(716) 323-0297

Sole ProprietorNo

Enumeration DateOctober 7, 2008

Last NPPES UpdateFebruary 22, 2021

NPPES CertifiedFebruary 22, 2021

✔ NPI 1881845980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in NY · 381988

1001 MAIN ST FL 4, Buffalo, NY 14203

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Other Identifiers 1

Medicaid03057545NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Casey Marie Wild Np 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14203 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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.

DR. MONA BONANNO M.D.

Pediatrics