Active NPI
Catherine B Wilke, M.D.
- Family Medicine Physician
- Auburn, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD60262025
- Practice address
- 17500 SE 392ND St
Auburn, WA 98092-9705 - Phone
- (253) 939-6648
- NPI assigned
- Oct 10, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 47947-020 | WI | |
| Family Medicine Physician | 207Q00000X | MD60262025 | WA | Primary |
Addresses
Primary practice location
17500 SE 392ND St
Auburn, WA 98092-9705
Mailing address
1019 Pacific Ave Ste 300
Attn: HR
Tacoma, WA 98402-4488
Phone (253) 722-1540
Other practice location 1
10510 Gravelly Lake Dr SW
Lakewood, WA 98499-5036
Phone (253) 589-7030
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34663700 | Medicaid | WI | |
| 2016063 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47947-020 | WI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Muckleshoot Indian Tribe | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| St. Joseph'S Health Services, Inc. | Past | Accepting new patients | |
| Mercy Health Services-Iowa Corp | Past | Accepting new patients | |
| Mercy Medical Center North Iowa | Past | Accepting new patients |
Locations
17500 SE 392nd St
Auburn, WA 98092
Phone (253) 939-6648
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
222 State Ave N
Kent, WA 98030
Phone (253) 372-7680
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
-
- Diagnostic Radiology Physician
- Spokane, WA
- NPI 1679042188
-
- Community/Retail Pharmacy
- Northwood, IA
- NPI 1316909484
-
- Nurse Practitioner
- Mason City, IA
- NPI 1548438526
-
- Clinic/Center
- Elroy, WI
- NPI 1699788273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582675200000",
"number": "1336137868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1019 PACIFIC AVE STE 300",
"address_2": "ATTN: HR",
"city": "TACOMA",
"state": "WA",
"postal_code": "984024488",
"telephone_number": "253-722-1540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17500 SE 392ND ST",
"city": "AUBURN",
"state": "WA",
"postal_code": "980929705",
"telephone_number": "253-939-6648"
}
],
"practiceLocations": [
{
"address_1": "10510 Gravelly Lake Dr SW",
"address_purpose": "LOCATION",
"city": "Lakewood",
"state": "WA",
"postal_code": "984995036",
"country_code": "US",
"telephone_number": "253-589-7030",
"fax_number": "253-589-7033",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILKE",
"first_name": "CATHERINE",
"middle_name": "B",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-10",
"last_updated": "2020-02-26",
"certification_date": "2020-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "47947-020",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD60262025",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "34663700",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2016063",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Auburn, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.