DR. SUSANNE GERTRAUD WILD M.D.
NPI 1972627867
Family Medicine in Phoenix, AZ
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
Specialties & Licenses
Other Identifiers 1
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. 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.
Medicare Billing Reassignment
Medicare enrollment records show Susanne Wild reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Payson, AZ 85541
- Reassigned Medicare billing, Arizona enrollment
- 66 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 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.
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.
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.
PHOENIX, AZ 85006
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.
Which organization bills Medicare for Susanne Wild's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Susanne Wild reassigns Medicare benefits to Banner -- University Primary Care Physicians LLC (Payson, AZ). 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 Susanne Wild's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Dr. Susanne Gertraud Wild, M.D. · NPI 1972627867
Family Medicine physician in Phoenix, Arizona. Individual provider, active in the CMS NPPES registry since March 18, 2007.
## Identity
- **NPI:** 1972627867 (Entity type: Individual)
- **Enumerated:** March 18, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 35547 (Arizona)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1300 N 12TH ST, #605, Phoenix, AZ 85006-2848
- **Phone:** (602) 839-4567 · **Fax:** (602) 839-2232
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Banner -- University Primary Care Physicians LLC (NPI 1154791960, Payson, AZ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Arizona College Of Medicine, class of 2004
## Record status
- **NPPES last updated:** December 26, 2012
- **Other identifiers:** Medicare PIN Z115223 (AZ)
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Source: [NPI Profile](https://npiprofile.com/npi/1972627867) · Data from the CMS NPPES public registry.