Mrs. Jacki L Wildeman is a Newburgh, Indiana based nurse practitioner with 23 years of experience in . She completed her graduation in 2002. and . She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mrs. Jacki L Wildeman is 71001467A in Indiana. Her current practice location is 4007 Gateway Blvd # 100, Newburgh. Patients can reach her at 812-842-0907 or can fax her at 812-490-7054. Mrs. Jacki L Wildeman is ARNP and her NPI number (Unique professional ID assigned by NPPES) is 1184672628. Mrs. Jacki L Wildeman has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Mrs. Jacki L Wildeman speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
5294749867
Enrollment ID:
I20060202000755
NPI Number:
1184672628
NPI Enumeration Date:
05 May, 2006
NPI Last Update On:
06 Dec, 2019
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mrs. Jacki L Wildeman are as mentioned below.
License Number
Specialization
State
Status
71001467A
Indiana
Primary
3899P
Acute Care
Kentucky
Secondary
309002150
Acute Care
Illinois
Secondary
71001467A
Acute Care
Indiana
Secondary
28079891A
Acute Care
Indiana
Secondary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
(150082)
Evansville, IN
Acute Care Hospital
(180056)
Henderson, KY
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Mrs. Jacki L Wildeman is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Deaconess Specialty Physicians Inc (0244595205)
72
Other Medical Identifiers:
Other legacy medical identifiers associated with Mrs. Jacki L Wildeman such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
78009586
Medicaid
Kentucky
000000270530
Other
ANTHEM
200427140
Medicaid
Indiana
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.