Johnathon Wilde, PA-C
NPI 1073231999 · Physician Assistant · Idaho Falls, ID
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Johnathon Wilde, PA-C is a Physician Assistant provider in Idaho Falls, ID (NPI 1073231999).
Provider details
- NPI number
- 1073231999
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 8361377 (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
3 yrs in NPPES registry
- Profile completeness33% of score
100% of core fields populated
- Practice footprint20% of score
1 documented practice location
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$84 across 4 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-08-16
- Last updated
- 2024-09-26
- Certified
- 2024-09-26
Frequently asked questions
- What is Johnathon Wilde's NPI number?
- Johnathon Wilde's National Provider Identifier (NPI) is 1073231999, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Johnathon Wilde's specialty?
- Johnathon Wilde is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Johnathon Wilde located?
- Johnathon Wilde's practice location on file with NPPES is 3820 Crestwood Ln, Idaho Falls, ID 83404-4979.
- What is Johnathon Wilde's phone number?
- The practice phone number listed in the NPPES registry for Johnathon Wilde is (208) 552-7700.
- Does Johnathon Wilde accept Medicare?
- Johnathon Wilde is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Johnathon Wilde's NPI active?
- Yes — Johnathon Wilde's NPI (1073231999) is active in the NPPES registry as of the last update on 2024-09-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.