Kellie Elizabeth Wilcox, ARNP - Medicare Nurse Practitioner in Salem, OR

Kellie Elizabeth Wilcox, ARNP is a medicare enrolled "Nurse Practitioner" in Salem, Oregon. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Yakima Valley Farm Workers Clinic, Yakima Valley Farm Workers Clinic and her current practice location is 255 Lancaster Dr Ne, Salem, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 576-8400.

Kellie Elizabeth Wilcox is licensed to practice in Oregon (license number 202210366NP-PP) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1104481175.

Contact Information

Kellie Elizabeth Wilcox, ARNP
255 Lancaster Dr Ne,
Salem, OR 97301-5155
(503) 576-8400
(503) 364-0775

Map and Direction




Provider's Profile

Full NameKellie Elizabeth Wilcox
GenderFemale
SpecialityNurse Practitioner
Experience3 Years
Location255 Lancaster Dr Ne, Salem, Oregon
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kellie Elizabeth Wilcox graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1104481175
  • Provider Enumeration Date: 05/06/2019
  • Last Update Date: 11/01/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6002205416
  • Enrollment ID: I20211104002865

Medical Identifiers

Medical identifiers for Kellie Elizabeth Wilcox such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104481175NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 201391227RN (Oregon)Secondary
363LF0000XNurse Practitioner - Family AP61198829 (Washington)Secondary
363L00000XNurse Practitioner 202210366NP-PP (Oregon)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Yakima Valley Farm Workers Clinic4385541986206
Yakima Valley Farm Workers Clinic4385541986206

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kellie Elizabeth Wilcox allows following entities to bill medicare on her behalf.
Entity NameSea-mar Community Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811051170
PECOS PAC ID: 7315831161
Enrollment ID: O20040211001210

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kellie Elizabeth Wilcox is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kellie Elizabeth Wilcox, ARNP
Po Box 190,
Toppenish, WA 98948-0190

Ph: (509) 865-2395
Kellie Elizabeth Wilcox, ARNP
255 Lancaster Dr Ne,
Salem, OR 97301-5155

Ph: (503) 576-8400

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.