Elizabeth Ann Wilder, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

17860 Issued in TN

Practice address

140 Vo Tech Dr.
McMinnville, TN 37110-1390

Phone

(931) 474-8888

Fax

(931) 474-8889

NPI assigned

Aug 20, 2013

Last updated

Aug 29, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Lisa Wilder Other name

Medicare fee-for-service enrollment

Enrolled in TN

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, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Impact Physician Group, Tennessee LLCGroup PAC ID 3476051525, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: elizabeth.wilder.1@22854.direct.athenahealth.com
• FHIR API: https://fhir4.healow.com/fhir/r4/BJHGAA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Impact Physician Group, Tennessee LLC

  • Internal Medicine Physician
  • Germantown, TN
  • NPI 1265320055

  Family

  Medicare reassignment Care Compare group NPD
• Cumberland Adult Medicine PLLC

  • Internal Medicine Physician
  • McMinnville, TN
  • NPI 1578986527
  Medicare reassignment NPD
• Family Care Clinic LLC

  • Rural Health Clinic/Center
  • McMinnville, TN
  • NPI 1780924456

  Family

  Medicare reassignment NPD
• Family Care Wellness LLC

  • Rural Health Clinic/Center
  • McMinnville, TN
  • NPI 1588325310

  Family

  Medicare reassignment NPD
• Monogram Health Professional Services PC

  • Nephrology Physician
  • Brentwood, TN
  • NPI 1134739089

  Family

  Medicare reassignment NPD
• Central Tennessee Internal Medicine, PLLC

  • Internal Medicine Physician
  • Manchester, TN
  • NPI 1659602274
  NPD (past)

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

{
    "created_epoch": "1376956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472428800000",
    "number": "1649603135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 VO TECH DR.",
            "city": "MCMINNVILLE",
            "state": "TN",
            "postal_code": "371108003",
            "telephone_number": "931-474-8888",
            "fax_number": "931-474-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 VO TECH DR.",
            "city": "MCMINNVILLE",
            "state": "TN",
            "postal_code": "371101390",
            "telephone_number": "931-474-8888",
            "fax_number": "931-474-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDER",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-20",
        "last_updated": "2016-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "17860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "WILDER",
            "prefix": "MRS.",
            "credential": "FNP-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lindsey Welch
• Alecia West, RN
• Leslie Robin Whaley, FNP
• Laura Anne White, RN
• Shawn Michael Whitfield, FNP-C
• Willa Tree Connections, PLLC
• William Bradford Brock (William Bradford Brock, M.D.)
• Allison Baylee Williams, M.S., CCC-SLP
• Jonathan Williams, LPC-MHSP
• Patricia Williams

• Family Nurse Practitioner in McMinnville, TN
• Providers in McMinnville, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2016; 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.