MS. MICHELLE ANNE WILDER (NPI# 1154987337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154987337 |
| Entity Type | Individual |
| Full Name | MS. MICHELLE ANNE WILDER |
| Practice Address |
420 Gaffney Dr Watertown NY 13601-1823 |
| Mailing Address |
6422 Number Four Rd Lowville NY 13367-3220 |
| Practice Telephone | 3152009656 |
| Practice Fax Number | 3158361207 |
| Mailing Telephone | 3154866179 |
| Mailing Fax Number | 3158361207 |
| Enumeration Date | 2019-05-14 |
| Last Update Date | 2019-05-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | NY | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639113376 | Michelle Wilder | Physical Therapist | 14007 Hickory Ridge Rd, Louisville, KY 40245-5176 | 2006-06-15 |
| Street Address |
420 GAFFNEY DR |
| City | WATERTOWN |
| State | NY |
| Zip Code | 13601-1823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083764864 | Jennifer Brink | Physical Therapist | 420 Gaffney Dr, Watertown, NY 13601-1823 | 2007-01-12 |
| 1528608668 | Emily Howell | Occupational Therapy Assistant | 420 Gaffney Dr, Watertown, NY 13601-1823 | 2020-01-07 |
| 1831751221 | Ashley Margaret Dobmeier | Occupational Therapist | 420 Gaffney Dr, Watertown, NY 13601-1823 | 2019-07-05 |
| 1205332723 | Julia Wise Groleau | Occupational Therapist | 420 Gaffney Dr, Watertown, NY 13601-1823 | 2018-04-03 |
| 1396243465 | Mary Ford-waterman | Behavior Technician | 420 Gaffney Dr, Watertown, NY 13601-1823 | 2018-01-24 |
| 1275040750 | Jennifer Rose Barse | Case Manager/Care Coordinator | 420 Gaffney Dr, Watertown, NY 13601-1823 | 2018-01-05 |
| 1073032652 | Erin Marie Ross | Speech-Language Pathologist | 420 Gaffney Dr, Watertown, NY 13601-1823 | 2017-09-14 |
| 1184174385 | Merrica Baldwin | Specialist | 420 Gaffney Dr, Watertown, NY 13601-1823 | 2016-10-12 |
| 1568919561 | Jennifer Wagstaff | Specialist | 420 Gaffney Dr, Watertown, NY 13601-1823 | 2016-09-07 |
| 1518410182 | Krista Chamberlain | Case Manager/Care Coordinator | 420 Gaffney Dr, Watertown, NY 13601-1823 | 2016-07-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801414156 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 122 Court Street, Empsall Bldg, Room 212, Watertown, NY 13601 | 2020-07-13 |
| 1083231377 | Katherine Anne Cahill | Counselor | 22679 Duffy Road, Watertown, NY 13601 | 2020-07-02 |
| 1851855431 | Hanna Kearney | Physical Therapist | 20053 Summit View Blvd Ste 2, Watertown, NY 13601 | 2019-01-28 |
| 1578039905 | North Country Counseling Services LLC | Counselor | 210 Court St. Suite 4, Watertown, NY 13601 | 2018-10-24 |
| 1073004388 | Megan Anna O'brien | Counselor | 221 S Rutland Street, Watertown, NY 13601 | 2018-05-22 |
| 1558860536 | Kimberly Lynne Amelio | Specialist | 24850 Hinds Rd, Watertown, NY 13601 | 2018-02-06 |
| 1952840050 | Alberto Gonzalez | Social Worker | 211 Jb Wise Plaza, Watertown, NY 13601 | 2017-02-22 |
| 1073967386 | Amanda Pisarski | Licensed Practical Nurse | 26713 Nys Rte 12, Watertown, NY 13601 | 2016-04-22 |
| 1396137709 | Daniel Ernest Morgan | Neuromusculoskeletal Medicine & OMM | 21101 Ny-12f, Building 2, Suite 7, Watertown, NY 13601 | 2015-02-21 |
| 1568868131 | Megan E. Zamora | Dental Hygienist | 14652-b Cedar Way, Watertown, NY 13601 | 2014-11-10 |
| Find all providers in zip 13601 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508274549 | Laura Avery | Case Manager/Care Coordinator | 167 Polk St Ste 240, Watertown, NY 13601-2770 | 2014-07-22 |
| 1639430606 | Jennifer Gaffney Delozier | Case Manager/Care Coordinator | 326 S. Hamilton Street, B, Watertown, NY 13601-3872 | 2012-06-06 |
| 1790083202 | Nancy T. Bradley | Case Manager/Care Coordinator | 263 Lexington St, Watertown, MA 02472-1165 | 2011-03-08 |
| 1992353437 | Ashlee Anne Weldon | Case Manager/Care Coordinator | 482 Black River Pkwy, Watertown, NY 13601-2416 | 2019-08-28 |
| 1730647488 | Jamie Block | Case Manager/Care Coordinator | 123 19th St Ne, Watertown, SD 57201-2823 | 2019-03-12 |
| 1285107391 | Anna Azalia Ward | Case Manager/Care Coordinator | 1704 State St, Watertown, NY 13601-3102 | 2019-01-11 |
| 1730652892 | Kiara Monee' Colvin | Case Manager/Care Coordinator | 1704 State St, Watertown, NY 13601-3102 | 2019-01-10 |
| 1164994794 | Desiree Michelle Torres Colon | Case Manager/Care Coordinator | 482 Black River Pkwy, Watertown, NY 13601-2416 | 2018-12-20 |
| 1457823171 | Donny Joe Chouinard | Case Manager/Care Coordinator | 482 Black River Pkwy, Watertown, NY 13601-2416 | 2018-12-19 |
| 1275040750 | Jennifer Rose Barse | Case Manager/Care Coordinator | 420 Gaffney Dr, Watertown, NY 13601-1823 | 2018-01-05 |
| Find all providers in WATERTOWN | ||||
Please comment or provide details below to improve the information on MS. MICHELLE ANNE WILDER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.