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Tracy Leigh Wilde , BA

Peer Specialist β€’ Broken Arrow, OK

Active NPI 1104143213 Individual Practitioner Female Practitioner
Practice location in NPPES

7015 S Dogwood Pl
Broken Arrow, OK 740112071

Call 9186303566 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

7015 S Dogwood Pl

Broken Arrow, OK 740112071

Telephone 9186303566

NPI first issued

2010

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Broken Arrow and Oklahoma

50 active clinicians are listed under Peer Specialist with a practice address in Broken Arrow, OK (5,217 in Oklahoma).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Broken Arrow

0% of these 50 clinicians have the CMS telehealth indicator.

0% of these 50 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-04-17
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Case Manager/Care Coordinator

NUCC Taxonomy Code: 171M00000X

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oklahoma State Board of Medical Licensure.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 04, 2026

Case Manager/Care Coordinator

πŸ“
Updated Practice Location February 20, 2024

Registered at 7015 S DOGWOOD PL, BROKEN ARROW, OK 740112071 (Tel: 9186303566)

πŸ“
Updated Business Mailing Address February 20, 2024

Registered at 7015 S DOGWOOD PL, BROKEN ARROW, OK 740112071 (Tel: 9186303566)

πŸ‘€
Provider Name / Credentials Updated February 20, 2024

Recorded as TRACY WILDE, BA

βœ…
NPI Profile Active April 28, 2010

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 28, 2010

Registered at 1415 E 38TH ST, TULSA, OK 741053337 (Tel: 9186303566)

πŸ“
Business Mailing Address (Initial Record) April 28, 2010

Registered at 1415 E 38TH ST, TULSA, OK 741053337 (Tel: 9186303566)

πŸ‘€
Provider Name / Credentials (Initial Record) April 28, 2010

Recorded as TRACY BIGBY, BA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 28, 2010

Behavior Analyst

🟒
Initial NPI Registration & Enumeration April 28, 2010

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1104143213
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 28, 2010
Last Update: April 17, 2026
Sole Proprietor: No

Mailing Address

7015 S Dogwood Pl

Broken Arrow, OK 740112071

Phone: 9186303566

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.