Marcella Wildeman, DNP, FNP-BC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

48029 Issued in WY

Practice address

916 Jackson Ave # a
Sheridan, WY 82801-2708

Phone

(130) 767-5555

NPI assigned

Oct 14, 2016

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

Medicare fee-for-service enrollment

Enrolled in WY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Northeast Wyoming Pediatric Associates, P.C.

  • Pediatrics Physician
  • Sheridan, WY
  • NPI 1114998259

  WY

  Medicare reassignment NPD
• Big Horn Health Network

  • Internal Medicine Physician
  • Sheridan, WY
  • NPI 1861722688

  WY

  Medicare reassignment NPD (past)
• Memorial Hospital of Sheridan County

  • General Acute Care Hospital
  • Sheridan, WY
  • NPI 1487707188

  WY

  Medicare reassignment

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

{
    "created_epoch": "1476403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1285185231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 JACKSON AVE # A",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828012708",
            "telephone_number": "307-675-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 JACKSON AVE # A",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828012708",
            "telephone_number": "130-767-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDEMAN",
        "first_name": "MARCELLA",
        "name_prefix": "Mrs.",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-14",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60701532",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "WY",
            "license": "48029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer White, M.S., L.P.C.
• Rebecca White, COTA/L
• Lynne Whittington, M.A., LPC
• Ashley Marie Whyard
• Benjamin Brownell Widener, M.D.
• Lisa Marie Wilkinson
• Bill M Williams, M.D.
• Brenda Kay Williams, CPHT
• Eric Bradley Williams
• Kimberlee D Williams, FNP

• Primary Care Nurse Practitioner in Sheridan, WY
• Providers in Sheridan, WY by specialty
• Primary Care Nurse Practitioner in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.