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

Kevin Wiley

Individual provider Nurse Practitioner · NPI 1376059279

Kevin Wiley is a Nurse Practitioner in Dover, Delaware. Qualified in 2017, 9 years ago. Practices with Christiana Care Quality Partners, a 96-clinician group and accepts Medicare assignment. Licensed in Delaware.

Years since qualifying
9
Licensed in
DE
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

640 S State St
Dover, DE 19901-3530
Phone: (302) 744-7122
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence LG-0001099 (DE)
Nurse Practitioner Taxonomy 363L00000X · Licence LG-0001099 (DE)

Record details

NPI number1376059279
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 15, 2017
Last updated in NPPESAugust 30, 2024
Certification dateAugust 30, 2024
Mailing address20 Nomad Trl, Camden, DE 19934-4222

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Christiana Care Quality Partners — 96 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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