KELLIE ELIZABETH WILCOX ARNP
NPI 1104481175
Nurse Practitioner - Family in Moses Lake, WA

Active since May 06, 2019PECOS EnrolledAccepts Medicare Assignment
605 S COOLIDGE ST, MOSES LAKE, WA 98837(509) 764-6111 Get Directions Write a Review

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 20, 2025, Nov 1, 2023, Oct 18, 2022 and 1 more (4 updates tracked since 2019).

About Kellie Elizabeth Wilcox Arnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLIE ELIZABETH WILCOX ARNP (NPI 1104481175) is an individual family provider in Moses Lake, Washington, licensed in Washington (AP61198829) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS, is affiliated with Providence Willamette Falls Medical Center, and maintains a secondary practice location in Salem.

NPPES Registry Identity

NPI1104481175
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLIE ELIZABETH WILCOXCredential: ARNP
Location Address605 S COOLIDGE STMoses Lake, WA 98837-1873
Mailing AddressPo Box 190Toppenish, WA 98948-0190 · (509) 865-2395 · Fax (509) 865-0757
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMay 6, 2019
Last NPPES UpdateJune 20, 20254 updates tracked since enumeration
NPPES CertifiedMay 30, 2025
NPI 1104481175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in WA · AP61198829
Also ListedRegistered NurseTaxonomy 163W00000X · License 201391227RN (OR)
Also ListedNurse PractitionerTaxonomy 363L00000X · License 202210366NP-PP (OR)
605 S COOLIDGE ST, Moses Lake, WA 98837

Secondary Practice Location 1

Location 1255 Lancaster Dr NESalem, OR 97301-5155 · Phone (503) 576-8400 · Fax (503) 364-0775

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kellie Elizabeth Wilcox Arnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6002205416
PECOS Enrollment IDI20221107002597
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Providence Willamette Falls Medical Center

Acute Care Hospitals · Oregon City, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380038
Location1500 Division StreetOregon City, OR 97045 · Clackamas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98837 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Federally Qualified Health Center (FQHC))
605 S COOLIDGE ST
MOSES LAKE, WA 98837
Nurse Practitioner
605 S COOLIDGE ST
MOSES LAKE, WA 98837
Dentist
605 S COOLIDGE ST
MOSES LAKE, WA 98837
Dentist
605 S COOLIDGE ST
MOSES LAKE, WA 98837
Physician Assistant
605 S COOLIDGE ST
MOSES LAKE, WA 98837
Dentist
605 S COOLIDGE ST
MOSES LAKE, WA 98837
Family Medicine
605 S COOLIDGE ST
MOSES LAKE, WA 98837
Family Medicine
605 S COOLIDGE ST
MOSES LAKE, WA 98837

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kellie Wilcox's NPI number?

The NPI number for Kellie Wilcox is 1104481175. It was assigned to this individual provider in the NPPES registry on May 6, 2019.

Where is Kellie Wilcox located?

Kellie Wilcox practices at 605 S Coolidge St, Moses Lake, WA 98837. The listed phone number is (509) 764-6111.

What is Kellie Wilcox's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kellie Wilcox enrolled in Medicare?

Yes. Kellie Wilcox is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kellie Wilcox accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Kellie Wilcox as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kellie Wilcox affiliated with any hospitals?

According to CMS data, Kellie Wilcox is affiliated with Providence Willamette Falls Medical Center.

When was this NPI record last updated?

The NPPES record for Kellie Wilcox was last updated on June 20, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.