MR. KEITH L. WILKENS (MD) – Family Medicine Physician, NPI 1164595807

MR. KEITH L. WILKENS (MD) is a healthcare provider. based in Spokane, Washington. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. MD00022949 (WA). The NPI Number for MR. KEITH L. WILKENS (MD) is 1164595807

Main info

Male
44 Years Of Experience
Accepts Medicare Assignment
Name
MR. KEITH L. WILKENS (MD)
NPI
1164595807
Phone
(509) 535-2277
Address
4102 S REGAL ST STE 101
Enumeration Date
17 November 2006
Last Update Date
11 May 2021

Doctor Profile

Medical School Name
LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6716468881
Graduation Year
1982 (44 years ago)
PAC ID
7618968330
Group Practice PAC ID
6608777628
Professional Enrollment ID
I20230113002001
Address ID
GU969133701TA388XXRDXX300

Contacts

SOAP Endpoint
https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

4,141 FAMILY PRACTICE in WA

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Provider Addresses for MR. KEITH L. WILKENS (MD)

  • South Regal Street, Southgate, Spokane, Spokane County, Washington, 99223, United States

    SPOKANE, WA 992235083

    Phone: (509) 535-2277

    Fax: (509) 534-1243

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-01-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040521000151IFamily PracticeWATBD
I20230113002001IFamily PracticeGUTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes3634$0
99213Established patient office or other outpatient visit, 20-29 minutes2828$0
View full utilization report →

Insurance plans in this area (ZIP 99223)

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Provider's Procedures

MR. KEITH L. WILKENS (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEWA90670Pneumococcal vaccine for injection into muscle1515

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6608777628View full group profile
NameSpecialtyState
Physician AssistantGU
Family PracticeGU
Nurse PractitionerGU
O P T O M E T R YOH
Family PracticeGU
Physician AssistantGU
O B S T E T R I C S/ G Y N E C O L O G YWA
Internal MedicineCA
Nurse PractitionerGU
O B S T E T R I C S/ G Y N E C O L O G YTX

Reviews

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Frequently asked questions

Where can patients find MR. KEITH L. WILKENS (MD)'s NPI?
You can confirm MR. KEITH L. WILKENS (MD) with NPI 1164595807; it appears in the national provider directory.
Is MR. KEITH L. WILKENS (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is MR. KEITH L. WILKENS (MD)?
The page reflects Family Medicine Physician for MR. KEITH L. WILKENS (MD). Clinical services aligned with this taxonomy classification.
Does MR. KEITH L. WILKENS (MD) practice in Washington?
You will see Spokane, Washington on file for MR. KEITH L. WILKENS (MD) alongside any extra practice locations.
Is MR. KEITH L. WILKENS (MD) a real provider?
This page reflects official NPPES data for NPI 1164595807. Always confirm identity and privileges with the practice and licensing boards.

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