DR. SUSANNE GERTRAUD WILD M.D.
NPI 1972627867
Family Medicine in Phoenix, AZ

Q: What is Susanne Wild's NPI number?

The NPI number for Susanne Wild is 1972627867. It was assigned to this individual provider in the NPPES registry on March 18, 2007.

Q: What is Susanne Wild's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Susanne Wild was last updated on December 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 March 18, 2007PECOS EnrolledAccepts Medicare Assignment

1300 N 12TH ST, #605, PHOENIX, AZ 85006(602) 839-4567(602) 839-2232 Get Directions Write a Review

NPPES record last updated: December 26, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Susanne Gertraud Wild M.d. NPPES

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

DR. SUSANNE GERTRAUD WILD M.D. (NPI 1972627867) is an individual family medicine provider in Phoenix, Arizona, licensed in Arizona (35547) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of University Of Arizona College Of Medicine (2004).

NPPES Registry Identity

NPI1972627867

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. SUSANNE GERTRAUD WILDCredential: M.D.

Location Address1300 N 12TH ST, #605Phoenix, AZ 85006-2848

Mailing Address1300 N 12th St, #605Phoenix, AZ 85006-2848 · (602) 839-4567 · Fax (602) 839-2232

Phone(602) 839-4567

Fax(602) 839-2232

Sole ProprietorYes

Medical School CMSUniversity Of Arizona College Of MedicineGraduated 2004

Enumeration DateMarch 18, 2007

Last NPPES UpdateDecember 26, 2012

✔ NPI 1972627867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in AZ · 35547

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1300 N 12TH ST, Phoenix, AZ 85006

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Other Identifiers 1

Medicare PINZ115223AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Susanne Gertraud Wild M.d. 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.

PECOS PAC ID8224137237

PECOS Enrollment IDI20070615000269

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.

Areas of Expertise CMS Part B claims 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

52 services41 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.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85006 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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. DIANA LYNELLE DABELL M.D.

Emergency Medicine

1300 N 12TH ST, STE 301
PHOENIX, AZ 85006

Maricopa County (602) 839-6968

PINNACLE COLON AND RECTAL SURGEONS, PLLC

Specialist

1300 N 12TH ST, SUITE 619
PHOENIX, AZ 85006

Maricopa County (602) 714-5482

INTERNISTS, ONCOLOGISTS LTD

Internal Medicine (Hematology & Oncology)

1300 N 12TH ST, SUITE 612
PHOENIX, AZ 85006

Maricopa County (602) 258-4875

PHILIP KACZAR MD PC

Internal Medicine

1300 N 12TH ST, SUITE #516
PHOENIX, AZ 85006

Maricopa County (602) 252-3967

BARBARA J RUNQUIST NP

Nurse Practitioner

1300 N 12TH ST, SUITE 404
PHOENIX, AZ 85006

Maricopa County (602) 839-0265

DR. ROBERT DEAN RIERSON MD

Obstetrics & Gynecology

1300 N 12TH ST, SUITE 501
PHOENIX, AZ 85006

Maricopa County (602) 839-4915

MISS FARRAH L BLACK PA

Physician Assistant (Medical)

1300 N 12TH ST, STE 500
PHOENIX, AZ 85006

Maricopa County (602) 839-2606

VIKTORIA KRAJNC MD

Family Medicine

1300 N 12TH ST, SUITE 605
PHOENIX, AZ 85006

Maricopa County (602) 839-5271

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 Susanne Wild's NPI number?

The NPI number for Susanne Wild is 1972627867. It was assigned to this individual provider in the NPPES registry on March 18, 2007.

Where is Susanne Wild located?

Susanne Wild practices at 1300 N 12th St #605, Phoenix, AZ 85006. The listed phone number is (602) 839-4567.

What is Susanne Wild's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Susanne Wild enrolled in Medicare?

Yes. Susanne Wild 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.

What insurance does Susanne Wild accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Susanne Wild 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 Susanne Wild was last updated on December 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.