Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Mr. Kim Keith Wiese, PA-C
Physician Assistant in Peoria, IL · enumerated 2006.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1801866744
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Registry record
Entity type Individual (Type 1)
Name Mr. Kim Keith Wiese
Credential PA-C
Sex Male
Practice address 1524 W Glen Ave, Peoria, IL, 61614
Phone (309) 512-0902
Fax (094) 030-3973
Enumeration date Jan 24, 2006
Last updated in NPPES May 19, 2020
Taxonomy & licenses
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 085.006503 (IL) Primary
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
What is the NPI number for Kim Wiese?
The National Provider Identifier (NPI) for Kim Wiese is 1801866744, a Type 1 (individual) record in the CMS NPPES registry.
Where does Kim Wiese practice?
The practice location on file with NPPES is in Peoria, IL. Providers can have multiple locations; NPPES lists the primary practice address.
Other providers at this practice address
Browse all → Scott Fenwick Chiropractor · Peoria, IL NPI 1508838335 Chad Walker Chiropractor · Peoria, IL NPI 1962474791 Robert Benningfield Chiropractor · Peoria, IL NPI 1437121258 Meghan Chockley Physical Therapist · Peoria, IL NPI 1750487047 Benningfield & Associates, LLC Chiropractor · Peoria, IL NPI 1154429744 Mark K Werking, Dc, Sc Chiropractor · Peoria, IL NPI 1285792085 Jason Benningfield Chiropractor · Peoria, IL NPI 1588802623 Amber Jones Family Nurse Practitioner · Peoria, IL NPI 1396248464
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-05-19.