KIM L WILDE MD
NPI 1891744140
Internal Medicine in Duluth, MN

Active since May 06, 2006PECOS Enrolled
1001 E SUPERIOR ST STE L401, DULUTH, MN 55802(218) 249-7960(218) 249-7997 Get Directions Write a Review

NPPES record last updated: December 4, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 4, 2020, Sep 11, 2019, Aug 24, 2019 (3 updates tracked since 2019).

About Kim L Wilde Md NPPES

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

KIM L WILDE MD (NPI 1891744140) is an individual internal medicine provider in Duluth, Minnesota, licensed in Minnesota (65959) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Watertown.

NPPES Registry Identity

NPI1891744140
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameKIM L WILDECredential: MD
Location Address1001 E SUPERIOR ST STE L401Duluth, MN 55802
Mailing Address1001 E Superior St Ste L401Duluth, MN 55802-2207 · (218) 249-7960
Fax(218) 249-7997
Sole ProprietorNo
Enumeration DateMay 6, 2006
Last NPPES UpdateDecember 4, 20203 updates tracked since enumeration
NPPES CertifiedDecember 4, 2020
✔ NPI 1891744140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in MN · 65959✔ Licensed in SD · 2534
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1001 E SUPERIOR ST STE L401, Duluth, MN 55802

Secondary Practice Location 1

Location 1506 1st Ave SEWatertown, SD 57201-4402 · Phone (605) 886-8482 · Fax (605) 884-4300

Other Identifiers 1

Medicaid6000743SD

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kim L Wilde 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.

Medicare Billing Reassignments

10

Medicare enrollment records show Kim Wilde reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Radiation Oncology
1001 E SUPERIOR ST, STE 101
Duluth, MN 55802
  • Reassigned Medicare billing, Minnesota enrollment
  • 513 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
225 BLUFF ST
Winnebago, NE 68071
  • Reassigned Medicare billing, Texas enrollment
  • 90 clinicians in this Medicare group
Rural
1300 HOSPITAL LOOP
Belcourt, ND 58316
  • Reassigned Medicare billing, Texas enrollment
  • 193 clinicians in this Medicare group
Clinic/Center
111 WASHINGTON AVE
Wagner, SD 57380
  • Reassigned Medicare billing, Texas enrollment
  • 21 clinicians in this Medicare group
Public Health, Federal
6998 WEASEL STREET
Cannonball, ND 58528
  • Reassigned Medicare billing, Texas enrollment
  • 71 clinicians in this Medicare group
Public Health or Welfare
24276 166TH STREET, AIRPORT ROAD
Eagle Butte, SD 57625
  • Reassigned Medicare billing, Texas enrollment
  • 282 clinicians in this Medicare group
General Acute Care Hospital
400 SOLDIER CREEK ROAD
Rosebud, SD 57570
  • Reassigned Medicare billing, Texas enrollment
  • 386 clinicians in this Medicare group
Rural Health
107 H STREET EAST
Poplar, MT 59255
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: U S Health Dept Of Health & Human Services
  • 306 clinicians in this Medicare group
Pharmacy
3200 CANYON LAKE DR
Rapid City, SD 57702
  • Reassigned Medicare billing, Texas enrollment
  • 119 clinicians in this Medicare group
Public Health, Federal
29 BLACK COAL DR
Fort Washakie, WY 82514
  • Reassigned Medicare billing, Texas enrollment
  • 31 clinicians in this Medicare group

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 4

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
93 services61 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
16 services16 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
15 services12 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.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55802 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tape, non-waterproof, per 18 square inches A4450
DME-Medical/Surgical Supplies · category DA000N
1 supplier12 claims660 services$0.10 avg. paid by Medicare
Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6222
DME-Medical/Surgical Supplies · category DA023N
1 supplier11 claims372 services$2.05 avg. paid by Medicare
Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard A6446
DME-Medical/Surgical Supplies · category DA023N
1 supplier13 claims1,664 services$0.38 avg. paid by Medicare
Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard A6449
DME-Medical/Surgical Supplies · category DA023N
1 supplier11 claims370 services$1.68 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

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

Family Medicine
1001 E SUPERIOR ST STE L401
DULUTH, MN 55802
Hospitalist
1001 E SUPERIOR ST STE L401
DULUTH, MN 55802
Internal Medicine
1001 E SUPERIOR ST STE L401
DULUTH, MN 55802
Pharmacist
1001 E SUPERIOR ST STE L401
DULUTH, MN 55802
Nurse Practitioner
1001 E SUPERIOR ST STE L401
DULUTH, MN 55802
Nurse Practitioner (Family)
1001 E SUPERIOR ST STE L401
DULUTH, MN 55802
Hospitalist
1001 E SUPERIOR ST STE L401
DULUTH, MN 55802
Nurse Practitioner (Family)
1001 E SUPERIOR ST STE L401
DULUTH, MN 55802

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 Kim Wilde's NPI number?

The NPI number for Kim Wilde is 1891744140. It was assigned to this individual provider in the NPPES registry on May 6, 2006.

Where is Kim Wilde located?

Kim Wilde practices at 1001 E Superior St Ste L401, Duluth, MN 55802. The listed phone number is (218) 249-7960.

What is Kim Wilde's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Kim Wilde enrolled in Medicare?

Yes. Kim Wilde is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kim Wilde's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kim Wilde reassigns Medicare benefits to 10 organizations: St. Luke's Hospital Of Duluth (Duluth, MN), Winnebago Tribe Of Nebraska (Winnebago, NE), Quentin N Burdick Comprehensive Health Care Facility (Belcourt, ND), Wagner Indian Health Service Health Center (Wagner, SD), Fort Yates Indian Health Service Hospital (Cannonball, ND) and 5 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kim Wilde's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kim Wilde accept?

Health plans from Blue Cross Blue Shield of North Dakota, Oscar Insurance Company, Security Health Plan and Wellmark of South Dakota, Inc. list Kim Wilde 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 Kim Wilde was last updated on December 4, 2020. 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.