JONATHAN MICHAEL WILDY CRNA NPI 1619137288

NPI Information

  • NPI: 1619137288
  • Provider Name: JONATHAN MICHAEL WILDY, CRNA
  • Classification: Nurse Anesthetist, Certified Registered - 367500000X
  • Entity Type: Individual
  • Address: 5101 W 73RD ST
    PRAIRIE VILLAGE, KS
    ZIP 66208
  • Phone: (619) 600-1023

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NPI Details

Jonathan Michael Wildy, CRNA is a nurse anesthetist certified registered in Prairie Village, KS. The provider is (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. Jonathan Michael Wildy, CRNA NPI is 1619137288. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5101 W 73RD ST
PRAIRIE VILLAGE, KS
ZIP 66208-434
Phone: (619) 600-1023

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Anesthesia for procedure to assess heart electrical activity (HCPCS:00537)
  • Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope (HCPCS:00731)
  • Anesthesia for procedure for total knee joint replacement (HCPCS:01402)
  • Anesthesia for other procedure on upper abdomen (HCPCS:00790)

The enumeration date for this NPI number is 6/16/2008 and was last updated on 10/18/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1367500000XNurse Anesthetist, Certified Registered0024168911VIRGINIANo
2367500000XNurse Anesthetist, Certified Registered556930KANSASNo
3163W00000XRegistered Nurse1390081012KANSASNo
4390200000XStudent in an Organized Health Care Education/Training ProgramCALIFORNIANo
5367500000XNurse Anesthetist, Certified Registered3906CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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