KEEA M WESLEY MD
NPI 1821275819
Pediatrics in Gallup, NM
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
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Keea M Wesley Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Keea Wesley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Gallup, NM 87301
- Reassigned Medicare billing, Texas enrollment
- 618 clinicians in this Medicare group
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 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.
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.
GALLUP, NM 87301
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 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.
Where is Keea Wesley located?
Keea Wesley practices at 516 East Nizhoni Blvd., Gallup, NM 87301. The listed phone number is (505) 722-1000.
What is Keea Wesley's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Keea Wesley enrolled in Medicare?
Yes. Keea Wesley is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Keea Wesley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Keea Wesley reassigns Medicare benefits to Dhhs,phs,naihs, Gallup Indian Medical Center (Gallup, NM). The 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 Keea Wesley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Keea M Wesley, MD · NPI 1821275819
Pediatrics physician in Gallup, New Mexico. Individual provider, active in the CMS NPPES registry since January 22, 2008.
## Identity
- **NPI:** 1821275819 (Entity type: Individual)
- **Enumerated:** January 22, 2008
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 4301091320 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 516 EAST NIZHONI BLVD., Gallup, NM 87301-1337
- **Phone:** (505) 722-1000 · **Fax:** (505) 722-1268
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Dhhs,phs,naihs, Gallup Indian Medical Center (NPI 1225002322, Gallup, NM), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 2, 2017
- **Other identifiers:** Other KW091320 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1821275819) · Data from the CMS NPPES public registry.