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KENNETH D WILGERS M.D. PA
NPI 1689863169
Family Medicine in Beaumont, TX

Active since October 19, 2007
3129 COLLEGE ST, SUITE 200, BEAUMONT, TX 77701(409) 832-8600(409) 832-8601 Get Directions Write a Review

NPPES record last updated: October 6, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kenneth D Wilgers M.d. Pa NPPES

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

KENNETH D WILGERS M.D. PA (NPI 1689863169) is a healthcare organization registered as a family medicine in Beaumont, Texas and active in the NPI registry since October 2007. The organization lists Kenneth D Wilgers, Family Practitioner, as its authorized official.

NPPES Registry Identity

NPI1689863169
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameKENNETH D WILGERS M.D. PA
Location Address3129 COLLEGE ST, SUITE 200Beaumont, TX 77701-4660
Mailing Address3129 College St, Suite 200Beaumont, TX 77701-4660 · (409) 832-8600 · Fax (409) 832-8601
Phone(409) 832-8600
Fax(409) 832-8601
Organization SubpartNo
Authorized OfficialKenneth D WilgersFamily Practitioner · (409) 832-8600
Enumeration DateOctober 19, 2007
Last NPPES UpdateOctober 6, 2022
NPPES CertifiedOctober 6, 2022
✔ NPI 1689863169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedEmergency Medical Technician, IntermediateTaxonomy 146M00000X · License H11697 (TX)
3129 COLLEGE ST, Beaumont, TX 77701
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenneth D Wilgers M.d. Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Kenneth D Wilgers M.D. PA, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Melissa Evans, FNP
Nurse Practitioner
NPI 1700187341
3129 COLLEGE ST SUITE NUMBER 200
Beaumont, TX 77701
(409) 832-8600
✔ PECOS✔ Accepts MedicareSame address
Kenneth Wilgers, M.D.
Family Practice
NPI 1275506206
3129 COLLEGE ST SUITE 200
Beaumont, TX 77701
(409) 832-8600
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Kenneth D Wilgers M.D. PA's NPI number?

The NPI number for Kenneth D Wilgers M.D. PA is 1689863169. It was assigned to this organization in the NPPES registry on October 19, 2007.

Where is Kenneth D Wilgers M.D. PA located?

Kenneth D Wilgers M.D. PA is located at 3129 College St Suite 200, Beaumont, TX 77701. The listed phone number is (409) 832-8600.

What is Kenneth D Wilgers M.D. PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kenneth D Wilgers M.D. PA enrolled in Medicare?

Yes. Kenneth D Wilgers M.D. PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kenneth D Wilgers M.D. PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Kenneth D Wilgers M.D. PA, in Family Practice and Nurse Practitioner. A 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 the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kenneth D Wilgers M.D. PA was last updated on October 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.