DR. JORDAN WILLIAM WILDE D.C.
NPI 1922370543
Chiropractor in Gresham, OR
About Dr. Jordan William Wilde D.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JORDAN WILLIAM WILDE D.C. (NPI 1922370543) is an individual chiropractor in Gresham, Oregon, licensed in Oregon (5033) and active in the NPI registry since January 2012. He is a graduate of Western States College Of Chiropractic (2011).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Jordan William Wilde D.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Jordan Wilde reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Milwaukie, OR 97222
- Reassigned Medicare billing, Oregon enrollment
- 3 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.
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 Jordan Wilde's NPI number?
The NPI number for Jordan Wilde is 1922370543. It was assigned to this individual provider in the NPPES registry on January 27, 2012.
Where is Jordan Wilde located?
Jordan Wilde practices at 191 SE Stark Street, Gresham, OR 97233. The listed phone number is (503) 328-9300.
What is Jordan Wilde's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Jordan Wilde enrolled in Medicare?
Yes. Jordan Wilde is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Jordan Wilde's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jordan Wilde reassigns Medicare benefits to Milwaukie Spine And Sport, LLC (Milwaukie, OR). The 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 Jordan Wilde's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jordan Wilde accept?
Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan and 1 other insurer list Jordan 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 Jordan Wilde was last updated on October 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Dr. Jordan William Wilde, D.C. · NPI 1922370543
Chiropractor provider in Gresham, Oregon. Individual provider, active in the CMS NPPES registry since January 27, 2012.
## Identity
- **NPI:** 1922370543 (Entity type: Individual)
- **Enumerated:** January 27, 2012
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 5033 (Oregon)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 191 SE STARK STREET, Gresham, OR 97233-8386
- **Phone:** (503) 328-9300
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Milwaukie Spine And Sport, LLC (NPI 1679850010, Milwaukie, OR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Western States College Of Chiropractic, class of 2011
## Record status
- **NPPES last updated:** October 13, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1922370543) · Data from the CMS NPPES public registry.