Mrs Jennifer Ranee Dewilde, DC is a medicare enrolled "Nurse Practitioner - Family" provider in Mahwah, New Jersey. She graduated from medical school in 2023 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is
65 Ramapo Valley Rd Ste 102b, Mahwah, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(732) 300-0833.
Mrs Jennifer Ranee Dewilde is licensed to practice in Missouri (license number F09231068) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1306905054.
Healthcare Provider's Profile
| Full Name | Mrs Jennifer Ranee Dewilde |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner |
|---|
| Experience | 3 Years |
|---|
| Location | 65 Ramapo Valley Rd Ste 102b, Mahwah, New Jersey |
|---|
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mrs Jennifer Ranee Dewilde graduated from medical school in 2023
NPI Data:
- NPI Number: 1306905054
- Provider Enumeration Date: 12/08/2006
- Last Update Date: 01/13/2026
Medicare PECOS Information:
- PECOS PAC ID: 2264460328
- Enrollment ID: I20250813000536
Medical Identifiers
Medical identifiers for Mrs Jennifer Ranee Dewilde such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1306905054 | NPI | - | NPPES |
| 671268 | Other | IL | UNITED HEALTHCARE |
| 038010352 | Medicaid | IL | |
| 7932010 | Other | IL | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 111N00000X | Chiropractor | 038010352 (Illinois) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | F09231068 (Missouri) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 53-82718-091 (Kansas) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Jennifer Ranee Dewilde is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Mrs Jennifer Ranee Dewilde, DC 65 Ramapo Valley Rd Ste 102b, Mahwah, NJ 07430-1182 Ph: (732) 300-0833 | Mrs Jennifer Ranee Dewilde, DC 65 Ramapo Valley Rd Ste 102b, Mahwah, NJ 07430-1182 Ph: (732) 300-0833 |
Reviews and Comments