Individual provider Active NPI

Megan Grace Wildes, ARNP

  • Nurse Practitioner
  • Tacoma, WA
National Provider Identifier
1235660929
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP60733408 Issued in WA
Practice address
5006 Center St Ste U
Tacoma, WA 98409-2314
Phone
(253) 284-4488
Fax
(253) 272-4771
NPI assigned
Mar 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP60733408 WA Primary

Addresses

Primary practice location

5006 Center St Ste U
Tacoma, WA 98409-2314

Mailing address

5006 Center St Ste U
Tacoma, WA 98409-2314
Phone (253) 284-4488

Other practice location 1

1304 Fawcett Ave Ste 100
Tacoma, WA 98402-1900
Phone (253) 761-4200

Other names 1

  • Dr. Meg Wildes Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170418001735 WA Practitioner - Nurse Practitioner 3173809670 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
South Puget Sound Neurology, PLLCGroup PAC ID 4486789427, 4 clinicians

Practice addresses (Care Compare)

5006 Ctr St
Suite U
Tacoma, WA 98409-2314
Phone (253) 284-4488

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP60733408WAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System Current Accepting new patients
Selkirk Neurology PLLC CurrentSince Mar 23, 2020 Accepting new patients
South Puget Sound Neurology, PLLC Nurse Practitioner CurrentSince Jul 1, 2023 Accepting new patients
Multicare Health System CurrentSince Jul 31, 2021 Accepting new patients
Multicare Health System CurrentSince Jul 31, 2021 Accepting new patients
Northwest Spine and Pain Medicine, PLLC CurrentSince May 1, 2017 Accepting new patients
Rare Wellness PastSince Oct 23, 2022 Accepting new patients
Patrick J. Hogan III, D.O. PastSince Jul 1, 2023 Accepting new patients
Selkirk Interventional Pain Physicians PLLC Past Accepting new patients

Locations

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

5901 N Lidgerwood St
Ste 218
Spokane, WA 99208
Phone (509) 464-6208

2607 S Southeast Blvd
Bldg A
Spokane, WA 99223
Phone (509) 464-6208

610 S Sherman St
Ste 201
Spokane, WA 99202
Phone (509) 458-7720

315 S K St
Tacoma, WA 98405
Phone (253) 403-1291

5006 Center St
Ste U
Tacoma, WA 98409
Phone (253) 284-4488

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

Interoperability endpoints

  • Direct secure messaging: megan.wildes.1@29018.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/19112/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 9

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1490227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1235660929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5006 CENTER ST STE U",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984092314",
            "telephone_number": "253-284-4488",
            "fax_number": "253-272-4771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5006 CENTER ST STE U",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984092314",
            "telephone_number": "253-284-4488",
            "fax_number": "253-272-4771"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1304 Fawcett Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984021900",
            "country_code": "US",
            "telephone_number": "253-761-4200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILDES",
        "first_name": "MEGAN",
        "middle_name": "GRACE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-23",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60733408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEG",
            "last_name": "WILDES",
            "prefix": "DR.",
            "credential": "DNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.