Olivia Jo Wilder, ANP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

759769 Issued in TX

Practice address

7000 N Mo Pac Expy Ste 420
Austin, TX 78731-3055

Phone

(512) 482-0045

Fax

(512) 476-9892

NPI assigned

Apr 2, 2013

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

Other identifiers 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

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healthdrive Medical Services of Texas LLCGroup PAC ID 2466899752, 40 clinicians

Hospital Internists of Texas LLCGroup PAC ID 6507133584, 46 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Enhabit Home Health Home health agency, Austin, TX, CCN 678267
• Halcyon Home LLC Home health agency, Austin, TX, CCN 747931
• Genesis Health at Home LLC Home health agency, Austin, TX, CCN 748065
• Halcyon Home Home health agency, San Marcos, TX, CCN 457094
• Bristol Hospice - Texas, LLC Hospice, The Woodlands, TX, CCN 671708
• Suncrest Hospice Hospice, Austin, TX, CCN 971604

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Healthdrive Medical Services of Texas LLC

  • Nurse Practitioner
  • Fort Worth, TX
  • NPI 1457132169
  Medicare reassignment Care Compare group NPD
• Hospital Internists of Texas, LLC

  • Internal Medicine Physician
  • Austin, TX
  • NPI 1912430281

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Careconnectmd Texas PA

  • General Practice Physician
  • Austin, TX
  • NPI 1043846132
  Medicare reassignment NPD
• Healthdrive Medical Services Southeast LLC

  • Nurse Practitioner
  • Columbia, MD
  • NPI 1437930146

  TX

  Medicare reassignment NPD
• Hit Population Health Services PLLC

  • Internal Medicine Physician
  • Austin, TX
  • NPI 1710563655
  Medicare reassignment
• Gibson Community Hospital Association

  • Critical Access Hospital
  • Gibson City, IL
  • NPI 1114935681
  NPD (past)

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

• Bristol Hospice-Texas LLC

  • Community Based Hospice Care Agency
  • The Woodlands, TX
  • NPI 1649563552
  Care Compare affiliation
• Eh Home Health of Austin, LLC

  • Home Health Agency
  • Austin, TX
  • NPI 1740518257
  Care Compare affiliation
• Genesis Health at Home LLC

  • Home Health Agency
  • Austin, TX
  • NPI 1811663552
  Care Compare affiliation
• Halcyon Home, LLC

  • Home Health Agency
  • Austin, TX
  • NPI 1003185059
  Care Compare affiliation
• Kingfisher Health LLC

  • Home Health Agency
  • San Marcos, TX
  • NPI 1851861496
  Care Compare affiliation
• Suncrest Hospice Austin LLC

  • Community Based Hospice Care Agency
  • Austin, TX
  • NPI 1114566429
  Care Compare affiliation

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

{
    "created_epoch": "1364860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602201600000",
    "number": "1487997011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 N MO PAC EXPY STE 420",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787313055",
            "telephone_number": "512-482-0045",
            "fax_number": "512-476-9892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 N MO PAC EXPY STE 420",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787313055",
            "telephone_number": "512-482-0045",
            "fax_number": "512-476-9892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDER",
        "first_name": "OLIVIA",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-02",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "759769",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "759769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "354595603",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wilder Wellness PLLC
• Alfred Christian Wilder, MD
• Andrea Wilder
• Justin Wilder, RN
• Katharina Ingeborg Leonore Wilder, APRN-C
• Tyler Craig Wildey, DDS
• Wildflower Pediatrics, PA
• Wildflower Psychotherapy PLLC
• Lindsey Wiley
• Sarah Elizabeth Wiley

• Nurse Practitioner in Austin, TX
• Providers in Austin, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2020; 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.