Tanya Marie Wilke, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD60090609 Issued in WA

Practice address

1427 Jefferson Ave
Suite 202
Enumclaw, WA 98022-3649

Phone

(360) 825-2849

Fax

(360) 825-5381

NPI assigned

Jul 18, 2007

Last updated

Jan 17, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Louisiana State University School of Medicine in New Orleans, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Elizabeth Hospital Hospital, Enumclaw, WA, CCN 501335
• St Joseph Medical Center Hospital, Tacoma, WA, CCN 500108

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/10664/brand/1/csg/1/fhir/r4
• Direct secure messaging: tanya.wilke.1@10664.direct.athenahealth.com
• Direct secure messaging: tanya.wilke.1@17803.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tanya Wilke Family Medicine

  • Primary Care Clinic/Center
  • Enumclaw, WA
  • NPI 1598155129
  Medicare reassignment NPD Authorized official
• Bridging Medicine PLLC

  • Family Medicine Physician
  • Enumclaw, WA
  • NPI 1912871252
  NPD Authorized official
• Enumclaw Internal Medicine and Diagnostics, PS

  • Internal Medicine Physician
  • Enumclaw, WA
  • NPI 1023281623
  NPD (past)
• Enumclaw Regional Hospital Association

  dba St. Elizabeth Hospital

  • Critical Access Hospital
  • Enumclaw, WA
  • NPI 1073674040
  NPD (past)
• Franciscan Medical Group

  • Family Medicine Physician
  • Tacoma, WA
  • NPI 1366539421
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Commonspirit Washington

  dba St Joseph Lab PAC LAB

  • Clinical Medical Laboratory
  • Tacoma, WA
  • NPI 1659585370

  Hospital

  Care Compare affiliation
• Commonspirit Washington

  dba St Joseph Medical Center

  • General Acute Care Hospital
  • Tacoma, WA
  • NPI 1952309098
  Care Compare affiliation
• Enumclaw Regional Hospital Association

  dba St. Elizabeth Hospital

  • Critical Access Hospital
  • Enumclaw, WA
  • NPI 1073674040
  Care Compare affiliation
• Franciscan Health System

  dba St Joseph Medical Center

  • General Acute Care Hospital
  • Tacoma, WA
  • NPI 1124291117
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421452800000",
    "number": "1235339359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1427 JEFFERSON AVE",
            "address_2": "SUITE 202",
            "city": "ENUMCLAW",
            "state": "WA",
            "postal_code": "980223649",
            "telephone_number": "360-825-2849",
            "fax_number": "360-825-5381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1427 JEFFERSON AVE",
            "address_2": "SUITE 202",
            "city": "ENUMCLAW",
            "state": "WA",
            "postal_code": "980223649",
            "telephone_number": "360-825-2849",
            "fax_number": "360-825-5381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKE",
        "first_name": "TANYA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-18",
        "last_updated": "2015-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "ML20008540",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD60090609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE L&I",
            "identifier": "0274400",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE L&I",
            "identifier": "0251251",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• White River Community Healthcare LLC (White River Assisted Living)
• White River MC Healthcare LLC (White River Memory Care)
• Carol M Wick, PT, OTR/L
• Carla J Wilbur
• Teri Wilcox, L.M.P., L.E.
• Ryan Willis, DPT
• Andrew N Willner, MD
• Samantha La Wilson, CDPT
• Womens Wellness PLLC (Holly A. Dickson, MD)
• Kristi Nicole Woodward

• Family Medicine Physician in Enumclaw, WA
• Providers in Enumclaw, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.