KEISHA WILES RN
NPI 1740170828
Nurse Practitioner - Women's Health in Live Oak, TX

Q: What is Keisha Wiles's NPI number?

The NPI number for Keisha Wiles is 1740170828. It was assigned to this individual provider in the NPPES registry on July 8, 2025.

Q: What is Keisha Wiles's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Q: When was this NPI record last updated?

The NPPES record for Keisha Wiles was last updated on May 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since July 08, 2025PECOS EnrolledAccepts Medicare Assignment

12881 N IH 35, LIVE OAK, TX 78233(210) 742-6555 Get Directions Write a Review

NPPES record last updated: May 7, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 7, 2026, Dec 19, 2025, Jul 8, 2025 (3 updates tracked since 2025).

On this page

About Keisha Wiles Rn NPPES

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

KEISHA WILES RN (NPI 1740170828) is an individual women's health provider in Live Oak, Texas, licensed in Texas (1091562) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of Georgetown University School Of Medicine (2025).

NPPES Registry Identity

NPI1740170828

Entity TypeIndividualFemale

Primary Taxonomy363LW0102X

Provider Legal NameKEISHA WILESCredential: RN

Location Address12881 N IH 35Live Oak, TX 78233-2966

Mailing Address12881 N Ih 35Live Oak, TX 78233-2966 · (210) 742-6555

Phone(210) 742-6555

Sole ProprietorNo

Medical School CMSGeorgetown University School Of MedicineGraduated 2025

Enumeration DateJuly 8, 2025

Last NPPES UpdateMay 7, 20263 updates tracked since enumeration

NPPES CertifiedMay 7, 2026

✔ NPI 1740170828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LW0102X

License✔ Licensed in TX · 1091562

12881 N IH 35, Live Oak, TX 78233

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Community First, Oscar Insurance Company.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

Keisha Wiles Rn 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 ID6305332461

PECOS Enrollment IDI20251229002071

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.

Medicare Billing Reassignment

Medicare enrollment records show Keisha Wiles reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hillside Primary Care PLLC

0.7 mi

Internal Medicine

12410 TOEPPERWEIN RD
Live Oak, TX 78233

Reassigned Medicare billing, Texas enrollment
56 clinicians in this Medicare group

NPI 1205349040 (210) 742-6555

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78233 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

SYDNEY BERRY APRN, FNP-C

Nurse Practitioner (Family)