KEEA M WESLEY MD
NPI 1821275819
Pediatrics in Gallup, NM

Q: What is Keea Wesley's NPI number?

The NPI number for Keea Wesley is 1821275819. It was assigned to this individual provider in the NPPES registry on January 22, 2008.

Q: What is Keea Wesley's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Keea Wesley was last updated on March 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 January 22, 2008PECOS Enrolled

516 EAST NIZHONI BLVD., GALLUP, NM 87301(505) 722-1000(505) 722-1268 Get Directions Write a Review

NPPES record last updated: March 2, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Keea M Wesley Md NPPES

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

KEEA M WESLEY MD (NPI 1821275819) is an individual pediatrics provider in Gallup, New Mexico, licensed in Michigan (4301091320) and active in the NPI registry since January 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821275819

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameKEEA M WESLEYCredential: MD

Location Address516 EAST NIZHONI BLVD.Gallup, NM 87301-1337

Mailing Address516 East Nizhoni Blvd.Gallup, NM 87301-1337 · (505) 722-1000 · Fax (505) 722-1268

Phone(505) 722-1000

Fax(505) 722-1268

Sole ProprietorNo

Enumeration DateJanuary 22, 2008

Last NPPES UpdateMarch 2, 2017

✔ NPI 1821275819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in MI · 4301091320

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

516 EAST NIZHONI BLVD., Gallup, NM 87301

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Other Identifiers 1

OtherKW091320MI · 4301091320

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Keea M Wesley Md 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 87301 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

$84.79 typical visit price

range $54.26 – $166.80

Typical copayment $21.19 (range $13.56 – $41.70)

Most-billed visit code 99203

Established Patient

$96.38 typical visit price

range $17.00 – $135.35

Typical copayment $24.09 (range $4.25 – $33.83)

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.

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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.

RAMONA V. ANDERSON MD

Pediatrics