Individual provider Active NPI

Jeffrey W Wilder, MD

  • Obstetrics & Gynecology Physician
  • Cadillac, MI
National Provider Identifier
1164490611
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4301067907 Issued in MI
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

Updated by the provider on Mar 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
160B41011OtherMIBCBS MI
4197610MedicaidMI
160055213OtherMIRR MEDICARE
383445481OtherMITAX ID

Electronic endpoints 2

TypeEndpointUseAffiliation
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, MN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040605000130 MI Practitioner - Obstetrics/Gynecology 8224010905 Reassigns benefits to 5 organizations
I20190813003178 MN Practitioner - Obstetrics/Gynecology 8224010905 Reassigns benefits to 4 organizations

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

LicenseStateTypeSpecialty
65787MNMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Munson Healthcare Cadillac CurrentSince Dec 20, 2023 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 CurrentSince Apr 28, 2025 Accepting new patients
Memorial Hospital Obstetrics & Gynecology CurrentSince May 23, 2024 Accepting new patients
Munson Healthcare Otsego Memorial Hospital CurrentSince Apr 28, 2025 Accepting new patients
Mayo Clinic Health System-Southeast Minnesota Region CurrentSince Aug 19, 2019 Accepting new patients
Munson Healthcare Cadillac CurrentSince Dec 20, 2023 Accepting new patients
Mayo Clinic Health System-Fairmont CurrentSince Jun 1, 2024 Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
Memorial Hospital Current Accepting new patients
Mayo Clinic Health System-Southeast Minnesota Region CurrentSince Aug 19, 2019 Accepting new patients
Memorial Hospital CurrentSince May 23, 2024 Accepting new patients
Mayo Clinic Health System-Southwest Minnesota Region CurrentSince Jun 1, 2024 Accepting new patients
Dickinson County Healthcare System Obstetrics & Gynecology CurrentSince Jan 2, 2019 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

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.61308
  • Direct secure messaging: jwilder621163@ehrdirect.mayoclinicmsg.org
  • Direct secure messaging: jeffrey.wilder.1@22710.direct.athenahealth.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/d63001e8-2b2d-46b2-9b8b-4bc37428b829/
  • Direct secure messaging: jwilder@direct.mhc.net
  • Direct secure messaging: 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.

View all 23

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.