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

Mr. John David Wildgust, RN, MSN, PHN, PMHNP

Individual provider Medical-Surgical Registered Nurse · NPI 1013698232

Mr. John David Wildgust, RN, MSN, PHN, PMHNP is a Nurse Practitioner in Santa Rosa, California. Qualified in 2024, 2 years ago. Practices with Siyan Clinical Corporation, a 20-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
2
Licensed in
CA
In the registry since
2023
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

See every abbreviation used in this directory →

Practice location Address checks out

480 Tesconi Cir Ste B
Santa Rosa, CA 95401-4691
Phone: (707) 206-7268
Fax: (707) 206-7254
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 935 Hunter Ln, Santa Rosa, CA 95404-8717 — (707) 480-2030

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence NP95034156 (CA)
Medical-Surgical Registered Nurse Taxonomy 163WM0705X · Licence 78261 (CA)

Record details

NPI number1013698232
Entity typeIndividual (Type 1)
GenderMale
Credentials RN , MSN , PHN , PMHNP
Sole proprietorNo
NPI enumeratedJuly 31, 2023
Last updated in NPPESApril 9, 2025
Certification dateApril 9, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Siyan Clinical Corporation — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Santa Rosa