MS. LANETRA ANN WILEY NP
NPI 1407335490
Nurse Practitioner - Pediatrics in Memphis, TN

Q: What is Lanetra Wiley's NPI number?

The NPI number for Lanetra Wiley is 1407335490. It was assigned to this individual provider in the NPPES registry on August 9, 2018.

Q: What is Lanetra Wiley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Lanetra Wiley was last updated on December 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.

Active since August 09, 2018PECOS Enrolled

160 S HOLLYWOOD ST, MEMPHIS, TN 38112(901) 287-7337(901) 287-4787 Get Directions Write a Review

NPPES record last updated: December 9, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 9, 2019, Aug 9, 2018 (2 updates tracked since 2018).

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About Ms. Lanetra Ann Wiley Np NPPES

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

MS. LANETRA ANN WILEY NP (NPI 1407335490) is an individual pediatrics provider in Memphis, Tennessee, licensed in Tennessee (24667) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407335490

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameMS. LANETRA ANN WILEYCredential: NP

Location Address160 S HOLLYWOOD STMemphis, TN 38112-4801

Mailing Address850 Poplar Ave Bldg 2Memphis, TN 38105-4607 · (901) 287-5565

Phone(901) 287-7337

Fax(901) 287-4787

Sole ProprietorNo

Enumeration DateAugust 9, 2018

Last NPPES UpdateDecember 9, 20192 updates tracked since enumeration

✔ NPI 1407335490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

Licenses✔ Licensed in TN · 24667✔ Licensed in MS · 902467

160 S HOLLYWOOD ST, Memphis, TN 38112

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Other Identifiers 1

MedicaidQ053901TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Plan, Inc., Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Lanetra Ann Wiley Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38112 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

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