KELLIE ELIZABETH WILCOX ARNP NPI 1104481175

NPI Information

  • NPI: 1104481175
  • Provider Name: KELLIE ELIZABETH WILCOX, ARNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 605 S COOLIDGE ST
    MOSES LAKE, WA
    ZIP 98837
  • Phone: (509) 764-6111

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NPI Details

Kellie Elizabeth Wilcox, ARNP is a family nurse practitioner in Moses Lake, WA with 5 years of experience. Kellie Elizabeth Wilcox, ARNP NPI is 1104481175. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

605 S COOLIDGE ST
MOSES LAKE, WA
ZIP 98837-873
Phone: (509) 764-6111

The NPI 1104481175 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/6/2019 and was last updated on 6/20/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered Nurse201391227RNOREGONNo
2363L00000XNurse Practitioner202210366NP-PPOREGONNo
3363LF0000XNurse PractitionerFamilyAP61198829WASHINGTONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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