Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Keisha Wiles, RN

Individual provider Women's Health Nurse Practitioner · NPI 1740170828

Keisha Wiles, RN is a Nurse Practitioner in Live Oak, Texas. Graduated from Georgetown University School of Medicine in 2025, 1 year ago. Practices with Hillside Primary Care PLLC, a 49-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
1
Trained at
Georgetown University School of Medicine
Licensed in
TX
In the registry since
2025
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

12881 N Ih 35
Live Oak, TX 78233-2966
Phone: (210) 742-6555
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Women's Health Nurse Practitioner (primary) Taxonomy 363LW0102X · Licence 1091562 (TX)

Record details

NPI number1740170828
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorNo
NPI enumeratedJuly 8, 2025
Last updated in NPPESMay 7, 2026
Certification dateMay 7, 2026
Mailing address12881 N Ih 35, Live Oak, TX 78233-2966

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolGEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated 2025 (1 years in practice)
Group practice Hillside Primary Care Pllc — 49 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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