Active NPI
Jessica Sperry Wild, RN
- Certified Registered Nurse Anesthetist
- Murfreesboro, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 35430
- Practice address
- 1800 Medical Center Pkwy Ste 330
Murfreesboro, TN 37129-2586 - Phone
- (615) 410-7873
- NPI assigned
- Aug 19, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | 242268 | TN | |
| Certified Registered Nurse Anesthetist | 367500000X | 35430 | TN | Primary |
| Critical Care Medicine Registered Nurse | 163WC0200X | 1-166645 | AL |
Addresses
Primary practice location
1800 Medical Center Pkwy Ste 330
Murfreesboro, TN 37129-2586
Mailing address
412 Victorian Park Cir
Franklin, TN 37067-0900
Phone (678) 654-9838
Other practice location 1
315 Hospital Dr
Madison, TN 37115-5030
Phone (615) 732-7662
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1800 Medical Ctr Pkwy
Suite 330
Murfreesboro, TN 37129-2586
Phone (615) 410-7873
Hospital & facility affiliations
- Saint Thomas Rutherford Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-166645 | AL | MD | Critical Care Medicine Registered Nurse |
| 242268 | TN | MD | Critical Care Medicine Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Murfreesboro Anesthesia Group, P.a. | Single Specialty | Current | Accepting new patients |
Locations
1800 Medical Center Pkwy
Ste 330
Murfreesboro, TN 37129
Phone (615) 396-4464
Organizations & group practices 1
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.
-
- Anesthesiology Physician
- Murfreesboro, TN
- NPI 1912959867
Single Specialty
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Murfreesboro, TN
- NPI 1164590386
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704672000000",
"number": "1285300194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "412 VICTORIAN PARK CIR",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370670900",
"telephone_number": "678-654-9838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 MEDICAL CENTER PKWY STE 330",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371292586",
"telephone_number": "615-410-7873"
}
],
"practiceLocations": [
{
"address_1": "315 Hospital Dr",
"address_purpose": "LOCATION",
"city": "Madison",
"state": "TN",
"postal_code": "371155030",
"country_code": "US",
"telephone_number": "615-732-7662",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILD",
"first_name": "JESSICA",
"middle_name": "SPERRY",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-19",
"last_updated": "2024-01-08",
"certification_date": "2024-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "TN",
"license": "242268",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "35430",
"primary": true
},
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "AL",
"license": "1-166645",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Murfreesboro, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.