Harley Danielle Wilde, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA14526 Issued in TX

Practice address

902 S Airport Dr. Ste 6
Weslaco, TX 78596-6644

Phone

(956) 362-8700

Fax

(956) 647-5013

NPI assigned

May 6, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Renaissance GastroenterologyGroup PAC ID 7810110780, 19 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Doctors Hosptal at Renaissance Hospital, Edinburg, TX, CCN 450869

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

88.93

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Renaissance Gastroenterology

  • Gastroenterology Physician
  • Edinburg, TX
  • NPI 1568890556
  Medicare reassignment Care Compare group

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

• Doctors Hospital at Renaissance, LTD

  dba DHR Health

  • General Acute Care Hospital
  • Edinburg, TX
  • NPI 1053317362
  Care Compare affiliation
• Doctors Hospital at Renaissance, LTD

  dba DHR Health

  • Transplant Surgery Physician
  • McAllen, TX
  • NPI 1104338052

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1620259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1255915369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6139",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785026139",
            "telephone_number": "956-362-3636",
            "fax_number": "956-362-2699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 S AIRPORT DR. STE 6",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785966644",
            "telephone_number": "956-362-8700",
            "fax_number": "956-647-5013"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5520 Leonardo Da Vinci Ste 100",
            "address_purpose": "LOCATION",
            "city": "Edinburg",
            "state": "TX",
            "postal_code": "785391422",
            "country_code": "US",
            "telephone_number": "956-362-3636",
            "fax_number": "956-362-2699",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILDE",
        "first_name": "HARLEY",
        "middle_name": "DANIELLE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-06",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA14526",
            "primary": true
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "TX",
            "license": "PA14526",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "harley.wilde@texasfwc.com",
            "affiliation": "Y",
            "endpointDescription": "Email address",
            "affiliationName": "Texas Federal Wellness Health & Rehab PLLC",
            "address_1": "2715 W Trenton Rd",
            "city": "Edinburg",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785393433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Weslaco Physicians Rehab LTD (Weslaco Rehab Hospital)
• Weslaco Regional Rehabilitation Hospital LLC
• West Valley Radiology
• Michael Joseph White, PA-C
• Jeanne L Wiegand, M.D.
• Wilfredo Aviles, MD P.a. (Mid Valley Pediatrics)
• Walter David Wilkins, PA-C, MPAS
• Eric Bradley Wilkinson, M.D.
• Wmpedi PLLC
• David Louis Womble, CNP

• Physician Assistant in Weslaco, TX
• Providers in Weslaco, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; 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.

Verify at the official NPI Registry.