NAOMI NICOLE WILDER PA-C
NPI 1982899027
Physician Assistant - Surgical in Latham, NY

Q: What is Naomi Wilder's NPI number?

The NPI number for Naomi Wilder is 1982899027. It was assigned to this individual provider in the NPPES registry on September 12, 2007. The provider is also known as Naomi Nicole Shencavitz Pa-C.

Q: What is Naomi Wilder's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Naomi Wilder was last updated on October 24, 2019. 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.

Active since September 12, 2007PECOS Enrolled

1205 TROY SCHENECTADY RD STE 101, LATHAM, NY 12110(518) 348-3176 Get Directions Write a Review

NPPES record last updated: October 24, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 24, 2019, Sep 28, 2015 (2 updates tracked since 2015).

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About Naomi Nicole Wilder Pa-c NPPES

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

NAOMI NICOLE WILDER PA-C (NPI 1982899027) is an individual surgical provider in Latham, New York, licensed in New York (012007) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982899027

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameNAOMI NICOLE WILDERCredential: PA-C

Location Address1205 TROY SCHENECTADY RD STE 101Latham, NY 12110-1074

Mailing Address1101 Nott StSchenectady, NY 12308-2425 · (518) 243-4000

Phone(518) 348-3176

Sole ProprietorNo

Enumeration DateSeptember 12, 2007

Last NPPES UpdateOctober 24, 20192 updates tracked since enumeration

✔ NPI 1982899027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in NY · 012007

1205 TROY SCHENECTADY RD STE 101, Latham, NY 12110

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Other Names 1

Former Name (1)Naomi Nicole Shencavitz Pa-c

Other Identifiers 1

Medicaid01529253NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Naomi Nicole Wilder Pa-c 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.

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.

LAUREN M CABANA PA

Physician Assistant