Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Joanna Louise Wilder , APRN-NP, CNM, CPM

Advanced Practice Midwife β€’ Tigard, OR

Active NPI 1659687283 Individual Practitioner Female Practitioner
Practice location in NPPES

12665 Sw Hall Blvd
Tigard, OR 972236217

Call 5038960170 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

12665 Sw Hall Blvd

Tigard, OR 972236217

Telephone 5038960170
Fax 9712645335

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

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 Tigard and Oregon

3 active clinicians are listed under Advanced Practice Midwife with a practice address in Tigard, OR (404 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

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: 2023-11-18
Advanced Practice Midwife Primary Specialty

NUCC Taxonomy Code: 367A00000X

License # reported to NPPES OR 10001034

Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling.

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: Oregon Medical Board.
Look Up on State Board Site

Career & Practice History Timeline

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

12 Historical Events
πŸ“
Updated Practice Location November 18, 2023

Registered at 12665 SW HALL BLVD, TIGARD, OR 972236217 (Tel: 5038960170)

πŸ“
Updated Business Mailing Address November 18, 2023

Registered at 12665 SW HALL BLVD, TIGARD, OR 972236217 (Tel: 5038960170)

πŸ“
Updated Practice Location November 10, 2022

Registered at 12687 SW WATKINS AVE, TIGARD, OR 972235122 (Tel: 6027991107)

πŸ“
Updated Business Mailing Address November 10, 2022

Registered at 12687 SW WATKINS AVE, TIGARD, OR 972235122 (Tel: 6027991107)

πŸ‘€
Provider Name / Credentials Updated November 10, 2022

Recorded as JOANNA WILDER, APRN-NP, CNM, CPM

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 10, 2022

Advanced Practice Midwife (license number reported to NPPES: OR 10001034)

βœ…
NPI Profile Active August 20, 2010

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 20, 2010

Registered at 1721 W DEVONSHIRE AVE, PHOENIX, AZ 850155218 (Tel: 6027991107)

πŸ“
Business Mailing Address (Initial Record) August 20, 2010

Registered at 1721 W DEVONSHIRE AVE, PHOENIX, AZ 850155218 (Tel: 6027991107)

πŸ‘€
Provider Name / Credentials (Initial Record) August 20, 2010

Recorded as JOANNA WILDER, RN, BSN, LM

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 20, 2010

Midwife (license number reported to NPPES: AZ 163)

🟒
Initial NPI Registration & Enumeration August 20, 2010

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1659687283
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 20, 2010
Last Update: November 18, 2023
Sole Proprietor: Yes

Mailing Address

12665 Sw Hall Blvd

Tigard, OR 972236217

Phone: 5038960170

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.