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

Mrs. Jeanie M Wildes, NP

Individual provider Family Nurse Practitioner · NPI 1245390376

Mrs. Jeanie M Wildes, NP is a Nurse Practitioner in Sedona, Arizona. Qualified in 2000, 26 years ago. Practices with Phoenician Medical Center Inc, a 36-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
26
Licensed in
AZ
In the registry since
2006
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

6446 State Route 179 Ste 209
Sedona, AZ 86351-7991
Phone: (928) 204-4900
Fax: (928) 204-4905
Show map & directions

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

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence AP1131 (AZ)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence AZAP1131 (AZ)

Record details

NPI number1245390376
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedDecember 11, 2006
Last updated in NPPESApril 25, 2024
Certification dateApril 25, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Phoenician Medical Center Inc — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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