Kim Keith Wiese, PA-C
Physician Assistant · Peoria, IL
Kim Keith Wiese, PA-C is a physician assistant with a practice address in Peoria, Illinois, and NPI 1801866744, issued on Jan 24, 2006. Check the license (Illinois 085.006503, as entered in NPPES) with the Illinois board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Kim Keith Wiese
- Credential
- PA-C
- Primary taxonomy
- Physician Assistant 363A00000X
- License number
- 085.006503 IL
Self-reported in NPPES; status is on the state search - Practice location
- 1524 W Glen Ave, Peoria, IL 61614
- Phone
- (309) 512-0902
- Enumerated
- Jan 24, 2006
- Record last updated
- May 19, 2020 (not updated in 6 years: call before relying on the address or phone)
- Fax
- (094) 030-3973
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 4,926 in Illinois → Look up another NPI →
Also registered at 1524 W Glen Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Kim Keith Wiese in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Illinois board licenses this profession
Search for license 085.006503Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Industry payments in 2024: $13.78
1 payment: food and beverage; the largest payer was Abbott Laboratories. The 64,719 providers of this specialty with any payment received $841.65 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Kim Keith Wiese among 4,926 physician assistant records in Illinois
Kim Keith Wiese, PA-C is one of 4,926 physician assistant records with a practice address in Illinois. 82% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 2% of them.
- NPI issued2006 · 2% of these records are older, 88% newer
- In a Medicare fileYes · 82% of these records are
- In the CMS Doctors and Clinicians fileNo · 69% of these records are
- Record last updated2020 · 35% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
95 physician assistant records list a practice address in Peoria
They are 95 of the 4,621 NPPES records with a practice address in Peoria, and 4,926 physician assistant records in Illinois.
All 4,926 in Illinois → Every provider in Peoria → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Tiffanny Connolly, PA-CPeoria, IL 616141346560497
- Jacinda Cornick, PAPeoria, IL 616141124121371
- Stephanie Ellis, PAPeoria, IL 616141922313238
- Monica Everett, PA-CPeoria, IL 616141093141756
- Brandon Gale, PAPeoria, IL 616141639319536
- Heather Martin, PAPeoria, IL 616141588999700
- Lisa Nielsen, PA-CPeoria, IL 616141982688669
- Hope Placher, PA-CPeoria, IL 616141659525855
Common questions
What is Kim Keith Wiese, PA-C's NPI number?
Kim Keith Wiese, PA-C's National Provider Identifier (NPI) is 1801866744, issued on Jan 24, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Kim Keith Wiese, PA-C located?
The NPPES record lists a practice address at 1524 W Glen Ave, Peoria, IL, 61614. Phone: (309) 512-0902. Providers update this record themselves, so call before visiting.
How can I verify Kim Keith Wiese, PA-C's license?
NPPES lists Illinois license number 085.006503, as entered by the provider. Search the Illinois board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.