Active NPI 1184672628 Individual Practitioner Female Practitioner

Jacki L Wildeman , ARNP

Nurse Practitioner • Newburgh, IN

Professional Overview & Biography Verified Profile Summary

Jacki Wildeman, ARNP is a registered healthcare professional specializing in Nurse Practitioner in Newburgh, IN. Practice services are available at 4007 GATEWAY BLVD # 100 under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, telephone medical discussion with physician. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4007 Gateway Blvd # 100

Newburgh, IN 476308947

Telephone 8128420907

Fax 8124907054

Associated Practice Facility / Clinic

🏢 Heart Group, Pc Facility NPI 1487624102

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Newburgh, IN

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 7.5 Yrs

State Avg: 10.9 Yrs

Regional Practice Density

83 Specialists

Practicing in Newburgh, IN (2620 Statewide)

Telehealth Adoption Rate

16.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

60.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	551	513	$170.00	$72.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	282	264	$248.00	$100.97
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$105.00	$45.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$249.00	$89.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,019	909	$170.00	$72.35
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	29	$105.00	$43.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,316	1,129	$162.36	$73.44
99442 Telephone medical discussion with physician, 11-20 minutes	53	52	$87.11	$74.06
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	48	48	$92.54	$45.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	22	$194.80	$105.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,212	1,045	$123.00	$60.47
99441 Telephone medical discussion with physician, 5-10 minutes	104	102	$48.38	$36.48
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	73	65	$79.00	$36.41
99442 Telephone medical discussion with physician, 11-20 minutes	48	47	$85.00	$60.95
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic	45	45	$35.00	$11.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,441	1,307	$123.00	$58.81
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	91	90	$79.00	$35.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	91	87	$174.00	$86.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	621	594	$207.24	$85.53
99213 Established patient office or other outpatient visit, typically 15 minutes	508	490	$142.54	$58.02
93000 Routine ekg using at least 12 leads including interpretation and report	247	236	$69.38	$13.34
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	25	$82.60	$34.83
93288 Evaluation of single, dual, multiple lead or leadless pacemaker system	17	16	$138.76	$30.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93000 Routine ekg using at least 12 leads including interpretation and report	95	86	$63.42	$12.76
99213 Established patient office or other outpatient visit, typically 15 minutes	87	85	$206.83	$56.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	85	82	$307.87	$85.21

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IN 71001467A

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Acute Care

NUCC Taxonomy Code: 363LA2100X

State License KY 3899P

Definition to come...

Nurse Practitioner - Acute Care

NUCC Taxonomy Code: 363LA2100X

State License IL 309002150

Definition to come...

Nurse Practitioner - Acute Care

NUCC Taxonomy Code: 363LA2100X

State License IN 71001467A

Definition to come...

Nurse Practitioner - Acute Care

NUCC Taxonomy Code: 363LA2100X

State License IN 28079891A

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

78009586 (KY)

Medicaid State Provider ID

200427140 (IN)

Commercial Insurance / Payer ID Anthem

000000270530

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

24 Associated Practitioners

Scott Mitchell , PA-C

Physician Assistant - Surgical

NPI 1003864547

Physician Assistant (Certified)

Dr. Srikanth Penumetsa , MD

Internal Medicine - Interventional Cardiology

NPI 1043469471

Doctor of Medicine (M.D.)

Brooke Smith

Physician Assistant

NPI 1043955107

Dr. Lee Wagmeister , MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1063470649

Doctor of Medicine (M.D.)

Dr. Frank Pamelia , MD

Internal Medicine - Interventional Cardiology

NPI 1073561254

Doctor of Medicine (M.D.)

Dr. Prasanna Yelamanchili , MD

Internal Medicine - Cardiovascular Disease

NPI 1083838130

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 06, 2019

Nurse Practitioner (License #71001467A in IN)

✅

NPI Profile Active December 20, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location December 20, 2017

Registered at 4007 GATEWAY BLVD # 100, NEWBURGH, IN 476308947 (Tel: 8128420907)

📍

Updated Business Mailing Address December 20, 2017

Registered at 4015 GATEWAY BLVD STE 2120, NEWBURGH, IN 476309460 (Tel: 8128420907)

👤

Provider Name / Credentials Updated December 20, 2017

Recorded as JACKI WILDEMAN, ARNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 20, 2017

Nurse Practitioner (License #71001467A in IN)

📍

Updated Practice Location May 03, 2017

Registered at 4007 GATEWAY BLVD # 100, NEWBURGH, IN 476308947 (Tel: 8128420907)

📍

Updated Business Mailing Address May 03, 2017

Registered at 4015 GATEWAY BLVD STE 2120, NEWBURGH, IN 476309460 (Tel: 8128420907)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 03, 2017

Nurse Practitioner (License #3899P in KY)

✅

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 09, 2007

Registered at 415 W COLUMBIA ST, EVANSVILLE, IN 477101656 (Tel: 8124649133)

📍

Updated Business Mailing Address July 09, 2007

Registered at 415 W COLUMBIA ST, EVANSVILLE, IN 477101656 (Tel: 8124640521)

👤

Provider Name / Credentials Updated July 09, 2007

Recorded as JACKI WILDEMAN, ARNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Nurse Practitioner (License #28079891A in IN)

🟢

Initial NPI Registration & Enumeration May 05, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1184672628

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 05, 2006

Last Update: December 06, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4015 Gateway Blvd Ste 2120

Newburgh, IN 476309460

Phone: 8128420907

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.