IndividualActive
Mary Illions-Wilde, MD
NPI 1144289604 · Pediatrics Physician · Coon Rapids, MN
Mary Illions-Wilde, MD is a Pediatrics Physician provider in Coon Rapids, MN (NPI 1144289604).
Provider details
- NPI number
- 1144289604
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 10132042-1205 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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.
Practice location
4050 Coon Rapids Blvd Nw
Coon Rapids, MN 55433-2522
Phone: (763) 236-6000
Fax: (763) 236-3433
Street-level locationGet directions
Mailing address
321 N Mall Dr Ste B201
St George, UT 84790-7310
Registry dates
- Enumerated
- 2006-03-22
- Last updated
- 2022-08-02
- Certified
- 2022-08-02
Frequently asked questions
- What is Mary Illions-Wilde's NPI number?
- Mary Illions-Wilde's National Provider Identifier (NPI) is 1144289604, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mary Illions-Wilde's specialty?
- Mary Illions-Wilde is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Mary Illions-Wilde located?
- Mary Illions-Wilde's practice location on file with NPPES is 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2522.
- What is Mary Illions-Wilde's phone number?
- The practice phone number listed in the NPPES registry for Mary Illions-Wilde is (763) 236-6000.
- Is Mary Illions-Wilde's NPI active?
- Yes — Mary Illions-Wilde's NPI (1144289604) is active in the NPPES registry as of the last update on 2022-08-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.