Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NAOMI NICOLE WILDER PA-C
NPI 1982899027
Physician Assistant - Surgical in Halfmoon, 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 September 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days 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

1768 ROUTE 9, HALFMOON, NY 12065(518) 489-2663 Get Directions Write a Review

NPPES record last updated: September 9, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 9, 2026, Oct 24, 2019, Sep 28, 2015 (3 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 Halfmoon, New York, licensed in New York (012007) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1982899027

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameNAOMI NICOLE WILDERCredential: PA-C

Location Address1768 ROUTE 9Halfmoon, NY 12065-2402

Mailing Address1768 Route 9Halfmoon, NY 12065-2402 · (518) 489-2663

Phone(518) 489-2663

Sole ProprietorNo

Enumeration DateSeptember 12, 2007

Last NPPES UpdateSeptember 9, 20263 updates tracked since enumeration

NPPES CertifiedSeptember 9, 2026

✔ 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

1768 ROUTE 9, Halfmoon, NY 12065

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Other Names 1

Former Name (1)Naomi Nicole Shencavitz Pa-c

Secondary Practice Locations 2

Location 11205 Troy Schenectady Rd Ste 101Latham, NY 12110-1074 · Phone (518) 348-3176

Location 21101 Nott StSchenectady, NY 12308-2425 · Phone (518) 243-4000

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 18

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

DR. LUKE V RIGOLOSI MD

Pain Medicine (Interventional Pain Medicine)