Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mary Jane Wildman, CRNP

Individual provider Registered Nurse · NPI 1174846166

Mary Jane Wildman, CRNP is a Nurse Practitioner in Uniontown, Pennsylvania. Qualified in 2022, 4 years ago. Practices with Chestnut Ridge Counseling Services Inc, a 29-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
4
Licensed in
PA
In the registry since
2010
Specialties on file
3
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

100 New Salem Rd Ste 116
Uniontown, PA 15401-8936
Phone: (724) 437-0728
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence SP028136 (PA)
Registered Nurse Taxonomy 163W00000X · Licence RN588934 (PA)
Child & Adolescent Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0807X · Licence RN588934 (PA)

Record details

NPI number1174846166
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedMarch 5, 2010
Last updated in NPPESAugust 31, 2023
Certification dateAugust 31, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Chestnut Ridge Counseling Services Inc — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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