Active NPI
Jeffrey W Wilder, MD
- Obstetrics & Gynecology Physician
- Cadillac, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 4301067907
- Practice address
- 7985 S Mackinaw TRL
Cadillac, MI 49601-8111 - Phone
- (231) 876-7200
- NPI assigned
- Mar 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 65787 | MN | |
| Obstetrics & Gynecology Physician | 207V00000X | 4301067907 | MI | Primary |
Addresses
Primary practice location
7985 S Mackinaw TRL
Cadillac, MI 49601-8111
Mailing address
1105 Sixth St
Traverse City, MI 49684-2345
Phone (231) 876-7200
Other practice location 1
14651 W Upright St
Charlevoix, MI 49720-1266
Phone (231) 547-4477
Other practice location 2
14700 Lake Shore Dr
Charlevoix, MI 49720-1999
Phone (231) 547-3840
Other practice location 3
400 Hobart St
Cadillac, MI 49601-2331
Phone (231) 876-7200
Other practice location 4
1250 E Michigan Ave Ste C
Grayling, MI 49738-7074
Phone (989) 348-0550
Other practice location 5
829 N Center Ave Ste 200
Gaylord, MI 49735-1598
Phone (989) 736-1210
Other practice location 6
1000 1st Dr NW
Austin, MN 55912-2941
Phone (507) 433-7351
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 160B41011 | Other | MI | BCBS MI |
| 4197610 | Medicaid | MI | |
| 160055213 | Other | MI | RR MEDICARE |
| 383445481 | Other | MI | TAX ID |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jwilder621163@ehrdirect.mayoclinicmsg.org | ||
| Direct Messaging Address | JWILDER@direct.mhc.net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Michigan State University College of Human Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 1St Dr NW
Austin, MN 55912-2941
Phone (507) 433-7351
404 W Fountain St
Albert Lea, MN 56007-2437
Phone (507) 373-2384
701 Hewitt Blvd
Red Wing, MN 55066-2848
Phone (651) 267-5000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 65787 | MN | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Munson Healthcare Cadillac | Current | Accepting new patients | |
| Munson Healthcare Cadillac | Current | Accepting new patients | |
| Mayo Clinic Health System-Southeast Minnesota Region | Current | Accepting new patients | |
| Munson Healthcare Otsego Memorial Hospital | Current | Accepting new patients | |
| Memorial Hospital | Obstetrics & Gynecology | Current | Accepting new patients |
| Munson Healthcare Otsego Memorial Hospital | Current | Accepting new patients | |
| Mayo Clinic Health System-Southeast Minnesota Region | Current | Accepting new patients | |
| Munson Healthcare Cadillac | Current | Accepting new patients | |
| Mayo Clinic Health System-Fairmont | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Memorial Hospital | Current | Accepting new patients | |
| Mayo Clinic Health System-Southeast Minnesota Region | Current | Accepting new patients | |
| Memorial Hospital | Current | Accepting new patients | |
| Mayo Clinic Health System-Southwest Minnesota Region | Current | Accepting new patients | |
| Dickinson County Healthcare System | Obstetrics & Gynecology | Current | Accepting new patients |
| Allina Health System | Past | Accepting new patients | |
| Munson Healthcare Grayling | Past | Accepting new patients | |
| Munson Healthcare Grayling | Past | Accepting new patients | |
| Mayo Clinic Health System-Southeast Minnesota Region | Past | Accepting new patients | |
| Mayo Clinic Health System-Southeast Minnesota Region | Past | Accepting new patients | |
| Munson Healthcare Cadillac | Past | Accepting new patients |
Locations
3782 Momentum Pl
Chicago, IL 60689
400 Hobart St
Cadillac, MI 49601
Phone (231) 876-7200
7985 S Mackinaw Trl
Ste 201
Cadillac, MI 49601
Phone (231) 779-5277
7985 S Mackinaw Trl
Cadillac, MI 49601
Phone (231) 825-8101
14700 Lake Shore Dr
Charlevoix, MI 49720
Phone (231) 547-3840
9000 Peet Rd
Chesaning, MI 48616
Phone (989) 720-2273
829 N Center Ave
Ste 200
Gaylord, MI 49735
Phone (989) 731-2105
829 N Center Ave
Gaylord, MI 49735
Phone (989) 731-2100
1721 S Stephenson Ave
Iron Mountain, MI 49801
Phone (906) 776-5415
3337 Britton Rd
Perry, MI 48872
Phone (517) 625-3004
1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000
404 W Fountain St
Albert Lea, MN 56007
Phone (507) 377-6285
1000 1st Dr NW
Austin, MN 55912
Phone (507) 433-7351
800 Medical Center Dr
Fairmont, MN 56031
Phone (507) 238-8100
1025 Marsh St
Mankato, MN 56001
Phone (507) 345-2623
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.61308
- jwilder621163@ehrdirect.mayoclinicmsg.org
- jeffrey.wilder.1@22710.direct.athenahealth.com
- https://fhir-myrecord.cerner.com/r4/d63001e8-2b2d-46b2-9b8b-4bc37428b829/
- jwilder@direct.mhc.net
- jeffrey.wilder@marshfieldclinichealthsystem.cernerdirect.com
Organizations & group practices 23
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Mayo Clinic Health System-Albert Lea and Austin
- Multi-Specialty Clinic/Center
- Albert Lea, MN
- NPI 1891701637
-
dba Marshfield Medical Center - Dickinson Professional Services
- Emergency Medical Services (Emergency Medicine) Physician
- Iron Mountain, MI
- NPI 1891751186
Obstetrics & Gynecology
-
dba Memorial Medical Associates
- General Practice Physician
- Owosso, MI
- NPI 1235160532
-
dba McBain Primary Care
- Rural Health Clinic/Center
- McBain, MI
- NPI 1336539063
-
dba Munson Healthcare OMH Medical Group-Gaylord RHC
- Rural Health Clinic/Center
- Gaylord, MI
- NPI 1164628426
-
- Multi-Specialty Clinic/Center
- Fairmont, MN
- NPI 1366410862
-
dba Mayo Clinic Health System - Mankato
- Multi-Specialty Clinic/Center
- Mankato, MN
- NPI 1578545422
-
dba Physician Clinic of Charlevoix
- Pediatrics Physician
- Charlevoix, MI
- NPI 1326124058
-
dba Memorial Medical Associates
- General Practice Physician
- Owosso, MI
- NPI 1316008006
Obstetrics & Gynecology
-
dba Memorial Medical Associates
- Anesthesiology Physician
- Owosso, MI
- NPI 1659527737
-
- Psychiatry Physician
- Traverse City, MI
- NPI 1720955081
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mayo Clinic Health System-Red Wing
- General Acute Care Hospital
- Red Wing, MN
- NPI 1164400024
-
dba Mayo Clinic Health System-Albert Lea and Austin
- General Acute Care Hospital
- Albert Lea, MN
- NPI 1346258100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772668800000",
"number": "1164490611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1105 SIXTH ST",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496842345",
"telephone_number": "231-876-7200",
"fax_number": "231-547-8088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7985 S MACKINAW TRL",
"city": "CADILLAC",
"state": "MI",
"postal_code": "496018111",
"telephone_number": "231-876-7200"
}
],
"practiceLocations": [
{
"address_1": "14651 W Upright St",
"address_purpose": "LOCATION",
"city": "Charlevoix",
"state": "MI",
"postal_code": "497201266",
"country_code": "US",
"telephone_number": "231-547-4477",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14700 Lake Shore Dr",
"address_purpose": "LOCATION",
"city": "Charlevoix",
"state": "MI",
"postal_code": "497201999",
"country_code": "US",
"telephone_number": "231-547-3840",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "400 Hobart St",
"address_purpose": "LOCATION",
"city": "Cadillac",
"state": "MI",
"postal_code": "496012331",
"country_code": "US",
"telephone_number": "231-876-7200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1250 E Michigan Ave Ste C",
"address_purpose": "LOCATION",
"city": "Grayling",
"state": "MI",
"postal_code": "497387074",
"country_code": "US",
"telephone_number": "989-348-0550",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "829 N Center Ave Ste 200",
"address_purpose": "LOCATION",
"city": "Gaylord",
"state": "MI",
"postal_code": "497351598",
"country_code": "US",
"telephone_number": "989-736-1210",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 1st Dr NW",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "MN",
"postal_code": "559122941",
"country_code": "US",
"telephone_number": "507-433-7351",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILDER",
"first_name": "JEFFREY",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-10",
"last_updated": "2026-03-05",
"certification_date": "2026-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MN",
"license": "65787",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MI",
"license": "4301067907",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MI",
"identifier": "160B41011",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4197610",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "160055213",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "383445481",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jwilder621163@ehrdirect.mayoclinicmsg.org",
"affiliation": "N",
"address_1": "1000 1st Dr NW",
"city": "Austin",
"state": "MN",
"country_code": "US",
"postal_code": "559122941",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "JWILDER@direct.mhc.net",
"affiliation": "N",
"address_1": "7985 S Mackinaw Trl Ste 201",
"city": "Cadillac",
"state": "MI",
"country_code": "US",
"postal_code": "496018111",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Cadillac, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.