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NICOLE WILEY DO
NPI 1780800110
Family Medicine in South Charleston, WV

Active since April 17, 2007PECOS Enrolled
401 DIVISION ST, SUITE 205, SOUTH CHARLESTON, WV 25309(304) 414-4875(304) 414-4876 Get Directions Write a Review

NPPES record last updated: June 27, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 27, 2018, Nov 21, 2016 (2 updates tracked since 2016).

About Nicole Wiley Do NPPES

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

NICOLE WILEY DO (NPI 1780800110) is an individual family medicine provider in South Charleston, West Virginia, licensed in West Virginia (2204) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780800110
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameNICOLE WILEYCredential: DO
Location Address401 DIVISION ST, SUITE 205South Charleston, WV 25309
Mailing Address1430 Nottingham RdCharleston, WV 25314-2434 · (304) 541-7177
Phone(304) 414-4875
Fax(304) 414-4876
Sole ProprietorNo
Enumeration DateApril 17, 2007
Last NPPES UpdateJune 27, 20182 updates tracked since enumeration
✔ NPI 1780800110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WV · 2204
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.
401 DIVISION ST, South Charleston, WV 25309
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Other Identifiers 3

OtherB441WV · Medicare Group Number
Other3810008840WV · Group Medicaid
Medicaid3811012117WV

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Wiley Do 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 25309 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HUSSEIN E EL-KHATIB,MD,PLLC
Psychiatry & Neurology (Psychiatry)
401 DIVISION ST, SUITE 204
S CHARLESTON, WV 25309
Kanawha County (304) 767-7850
WVUPC-KANAWHA VALLEY FAMILY PRACTICE
Family Medicine
401 DIVISION ST, SUITE 205
S CHARLESTON, WV 25309
Kanawha County (304) 768-3941
LEELA K PATEL MD
Family Medicine
401 DIVISION ST, SUITE 306
SOUTH CHARLESTON, WV 25309
Kanawha County (304) 766-4300
JOHN PONUGUPATI M.D.
Internal Medicine (Hematology & Oncology)
401 DIVISION ST, SUITE 100
SOUTH CHARLESTON, WV 25309
Kanawha County (304) 766-4350
ARVIND B SHAH MD INC
Clinical Medical Laboratory
401 DIVISION ST, SITE # 100
SOUTH CHARLESTON, WV 25309
Kanawha County (304) 766-4350
WVUPC KANAWHA VALLEY FP (LAB)
Clinical Medical Laboratory
401 DIVISION ST, SUITE 205
SOUTH CHARLESTON, WV 25309
Kanawha County (304) 293-5033
KIRAN R PATEL M.D.
Obstetrics & Gynecology
401 DIVISION ST, STE 306
SOUTH CHARLESTON, WV 25309
Kanawha County (304) 766-4300
SOUTH CHARLESTON FAMILY MEDICINE
Family Medicine
401 DIVISION ST, STE 205
SOUTH CHARLESTON, WV 25309
Kanawha County (304) 768-3941

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 Nicole Wiley's NPI number?

The NPI number for Nicole Wiley is 1780800110. It was assigned to this individual provider in the NPPES registry on April 17, 2007.

Where is Nicole Wiley located?

Nicole Wiley practices at 401 Division St Suite 205, South Charleston, WV 25309. The listed phone number is (304) 414-4875.

What is Nicole Wiley's specialty?

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

Is Nicole Wiley enrolled in Medicare?

Yes. Nicole Wiley is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicole Wiley was last updated on June 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.