Active NPI 1588953582 Individual Practitioner Female Practitioner

Dr. Jennifer Marie Wild , MD

Pediatrics • Everett, WA

Professional Overview & Biography Verified Profile Summary

Dr. Jennifer Wild, MD is a registered healthcare professional specializing in Pediatrics in Everett, WA. Practice services are available at 12800 BOTHELL EVERETT HWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12800 Bothell Everett Hwy

Everett, WA 982086642

Telephone 4253165188

Fax 4252251005

Associated Practice Facility / Clinic

🏢 Western Washington Medical Group, Inc Ps Facility NPI 1427005313

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Everett, WA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 15.0 Yrs

State Avg: 18.8 Yrs

Regional Practice Density

39 Specialists

Practicing in Everett, WA (1802 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-04-29

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License WA MD 60455588

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

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

3 Associated Practitioners

Dr. Evangeline Gan , MD

Internal Medicine

NPI 1376644351

Doctor of Medicine (M.D.)

Dr. Melissa Closs-Brewer , MD

Pediatrics

NPI 1467553529

Doctor of Medicine (M.D.)

Dr. Jason Soh , MD

Pediatrics

NPI 1689092264

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active August 20, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location August 20, 2015

Registered at 12800 BOTHELL EVERETT HWY, EVERETT, WA 982086642 (Tel: 4253165188)

📍

Updated Business Mailing Address August 20, 2015

Registered at PO BOX 3360, PORTLAND, OR 972083360 (Tel: 8663662983)

👤

Provider Name / Credentials Updated August 20, 2015

Recorded as JENNIFER WILD, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 20, 2015

Pediatrics (License #MD 60455588 in WA)

🟢

Initial NPI Registration & Enumeration March 31, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1588953582

Entity Type:

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

Enumeration Date: March 31, 2011

Last Update: April 29, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 3360

Portland, OR 972083360

Phone: 8663662983

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.