KELLIE ELIZABETH WILCOX ARNP
NPI 1104481175
Nurse Practitioner - Family in Oregon City, OR
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 Oregon City, Oregon, 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 is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Kellie Wilcox reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Oregon City, OR 97045
- Reassigned Medicare billing, Oregon enrollment
- Medicare enrollment name: County Of Clackamas Office Of County Auditor
- 130 clinicians in this Medicare group
Vancouver, WA 98683
- Reassigned Medicare billing, Washington enrollment
- 525 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, ORPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97045 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 110 Beavercreek Rd, Oregon City, OR 97045. The listed phone number is (503) 475-5558.
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.
Which organizations bill Medicare for Kellie Wilcox's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kellie Wilcox reassigns Medicare benefits to 2 organizations: Clackamas County (Oregon City, OR) and Sea Mar Community Health Centers (Vancouver, WA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kellie Wilcox's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 September 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kellie Elizabeth Wilcox, ARNP · NPI 1104481175
Family physician in Oregon City, Oregon. Individual provider, active in the CMS NPPES registry since May 6, 2019.
## Identity
- **NPI:** 1104481175 (Entity type: Individual)
- **Enumerated:** May 6, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** AP61198829 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 110 BEAVERCREEK RD, Oregon City, OR 97045-4307
- **Phone:** (503) 475-5558
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Clackamas County (NPI 1720017809, Oregon City, OR); Sea Mar Community Health Centers (NPI 1770933640, Vancouver, WA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** September 16, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1104481175) · Data from the CMS NPPES public registry.