Sage Family Practice
NPI 1093613085ActiveOrganization· Nurse Practitioner, Family· Sheridan, WY
Nurse Practitioner, Family in Sheridan, Wyoming, registered in NPPES in October 2026. The authorized official on file is Marcella Wildeman, DNP, FNP-BC, Owner.
Overview
| NPI | 1093613085 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 29, 2026 |
| Last updated in NPPES | Oct 29, 2026 |
| Certified by provider | Oct 28, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Nurse Practitioner, Family providers in Sheridan
- 1134075047
- 1942166442
- 1548882343
- 1841199494
- 1780367391
- 1659949683
- 1154420768
- 1932090818
- 1134622491
- 1639261555
- 1902652449
- 1194594218