DELETRA MICHELLE WILKE PA-C
NPI 1841731817
Physician Assistant - Medical in Madisonville, TN

Q: What is Deletra Wilke's NPI number?

The NPI number for Deletra Wilke is 1841731817. It was assigned to this individual provider in the NPPES registry on March 10, 2017.

Q: What is Deletra Wilke's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Deletra Wilke was last updated on November 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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 March 10, 2017PECOS EnrolledAccepts Medicare Assignment

3959 HIGHWAY 411, MADISONVILLE, TN 37354(423) 442-2121(423) 545-9556 Get Directions Write a Review

NPPES record last updated: November 4, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 4, 2024, Mar 10, 2023 (2 updates tracked since 2023).

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About Deletra Michelle Wilke Pa-c NPPES

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

DELETRA MICHELLE WILKE PA-C (NPI 1841731817) is an individual medical provider in Madisonville, Tennessee, licensed in Tennessee (3239) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1841731817

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameDELETRA MICHELLE WILKECredential: PA-C

Location Address3959 HIGHWAY 411Madisonville, TN 37354-4417

Mailing AddressPo Box 808Kingston, TN 37763-0808 · (865) 224-7172 · Fax (865) 224-7171

Phone(423) 442-2121

Fax(423) 545-9556

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateMarch 10, 2017

Last NPPES UpdateNovember 4, 20242 updates tracked since enumeration

NPPES CertifiedNovember 4, 2024

✔ NPI 1841731817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in TN · 3239

Also ListedPhysician AssistantTaxonomy 363A00000X · License 3239 (TN)

3959 HIGHWAY 411, Madisonville, TN 37354

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Oscar Insurance Company, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Deletra Michelle Wilke Pa-c 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 ID3577849561

PECOS Enrollment IDI20170405001210

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.

Other Providers at the Same Location NPPES 9

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

EAST TENNESSEE PEDIATRICS

Clinic/Center (Rural Health)