KEYVONIA WILSON PHLEBOTOMY
NPI 1245080092
Technician, Pathology - Phlebotomy in Milwaukee, WI
About Keyvonia Wilson Phlebotomy NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEYVONIA WILSON PHLEBOTOMY (NPI 1245080092) is an individual phlebotomy provider in Milwaukee, Wisconsin, licensed in Wisconsin (NPCN-169866402) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Keyvonia Wilson Phlebotomy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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 Keyvonia Wilson's NPI number?
The NPI number for Keyvonia Wilson is 1245080092. It was assigned to this individual provider in the NPPES registry on March 25, 2024.
Where is Keyvonia Wilson located?
Keyvonia Wilson practices at 11575 W Theo Trekr Way # 18, Milwaukee, WI 53214. The listed phone number is (262) 450-3615.
What is Keyvonia Wilson's specialty?
The primary specialty registered for this NPI is Technician, Pathology, specializing in Phlebotomy, with taxonomy code 246RP1900X.
Is Keyvonia Wilson enrolled in Medicare?
Yes. Keyvonia Wilson is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Keyvonia Wilson was last updated on March 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.
# Keyvonia Wilson, PHLEBOTOMY · NPI 1245080092
Phlebotomy provider in Milwaukee, Wisconsin. Individual provider, active in the CMS NPPES registry since March 25, 2024.
## Identity
- **NPI:** 1245080092 (Entity type: Individual)
- **Enumerated:** March 25, 2024
- **Primary specialty:** Technician, Pathology - Phlebotomy · taxonomy 246RP1900X
- **State license:** NPCN-169866402 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 11575 W THEO TREKR WAY # 18, Milwaukee, WI 53214-1139
- **Phone:** (262) 450-3615
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** March 24, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1245080092) · Data from the CMS NPPES public registry.