Keisha Wiles, RN
NPI 1740170828ActiveIndividual· Nurse Practitioner, Women's Health· Live Oak, TX
Nurse Practitioner, Women's Health (RN) in Live Oak, Texas, trained at Georgetown University School of Medicine (class of 2025). Enrolled in Medicare as practitioner - nurse practitioner.
Overview
| NPI | 1740170828 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RN |
| Sole proprietor | No |
| NPI issued | Jul 8, 2025 |
| Last updated in NPPES | May 7, 2026 |
| Certified by provider | May 7, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Women's Health Primary | 363LW0102X | 1091562 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (TX) |
|---|
Education and affiliations
| Medical school | Georgetown University School of Medicine |
|---|---|
| Graduation year | 2025 |
| Medicare specialty | Nurse Practitioner |
Medical group
- Hillside Primary Care PLLCLive Oak, TX · 51 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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