Jonathan Michael Wildy, CRNA
NPI 1619137288ActiveIndividual· Nurse Anesthetist, Certified Registered· Prairie Village, KS
Nurse Anesthetist, Certified Registered (CRNA) with Pine Ridge Indian Health Service Hospital, practicing in Prairie Village, Kansas. Medicare paid $14,647 for services to 101 patients in 2024.
Overview
| NPI | 1619137288 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CRNA |
| Sole proprietor | No |
| NPI issued | Jun 16, 2008 |
| Last updated in NPPES | Oct 18, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | 3906 | CA |
| Registered Nurse | 163W00000X | 1390081012 | KS |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | CA |
| Nurse Anesthetist, Certified Registered | 367500000X | 0024168911 | VA |
| Nurse Anesthetist, Certified Registered | 367500000X | 556930 | KS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Certified Registered Nurse Anesthetist (CRNA) (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 101 |
|---|---|
| Services billed | 108 across 34 procedure codes |
| Paid by Medicare | $14,647 |
Education and affiliations
| Graduation year | 2009 |
|---|---|
| Medicare specialty | Certified Registered Nurse Anesthetist (Crna) |
Medical group
- Pine Ridge Indian Health Service HospitalPine Ridge, SD · 108 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Nurse Anesthetist, Certified Registered providers in Prairie Village
- 1124103205
- 1871207019
- 1295096709
- 1508976366
All Nurse Anesthetist, Certified Registered providers in Kansas →