Individual provider Active NPI

Christina Bray Magill, M.D.

  • Facial Plastic Surgery Physician
  • Wasilla, AK
National Provider Identifier
1043340185
Registry record updated Oct 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
License
MEDS7503 Issued in AK
Practice address
3719 E Meridian Loop Ste E
Wasilla, AK 99654-7273
Phone
(907) 600-0030
Fax
(907) 206-7153
NPI assigned
Mar 7, 2007
Last updated
Oct 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 2006028765 MO
Facial Plastic Surgery Physician 207YS0123X MEDS7503 AK Primary

Addresses

Primary practice location

3719 E Meridian Loop Ste E
Wasilla, AK 99654-7273

Mailing address

PO Box 75045
Chicago, IL 60675-5045
Phone (907) 600-0030

Other practice location 1

3340 Providence Dr Ste A363
Anchorage, AK 99508-4691
Phone (907) 600-0030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20121008000022 AK Practitioner - Plastic and Reconstructive SurgeryPractitioner - Otolaryngology 9436327053 Reassigns benefits to 2 organizations
I20190726001157 TX Practitioner - Otolaryngology 9436327053 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: Otolaryngology
Education
University of Washington School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alaska Facial Plastic Surgery and ENTGroup PAC ID 6002238771, 3 clinicians

Practice addresses (Care Compare)

3719 E Meridian Loop
Suite E
Wasilla, AK 99654-7273
Phone (907) 600-0030

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision56
Skin biopsy12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2006028765MOMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alaska Facial Plastic Surgery & ENT CurrentSince Jul 1, 2020 Accepting new patients
Alaska Native Tribal Health Consortium CurrentSince Jun 11, 2019 Accepting new patients
Ear, Nose and Throat Specialists Alaska, Inc. CurrentSince Aug 28, 2012 Accepting new patients
Brockport Vine Medical PC Past Accepting new patients

Locations

3340 Providence Dr
Ste A363
Anchorage, AK 99508
Phone (907) 600-0030

3801 University Lake Dr
Anchorage, AK 99508
Phone (907) 563-8876

3831 Piper St
Ste S433
Anchorage, AK 99508
Phone (907) 561-1421

4000 Ambassador Dr
Anchorage, AK 99508
Phone (907) 729-1900

4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729

3719 E Meridian Loop
Ste E
Wasilla, AK 99654
Phone (907) 373-8281

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21016/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791504000000",
    "number": "1043340185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 75045",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606755045",
            "telephone_number": "907-600-0030",
            "fax_number": "907-206-7153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3719 E MERIDIAN LOOP STE E",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547273",
            "telephone_number": "907-600-0030",
            "fax_number": "907-206-7153"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3340 Providence Dr Ste A363",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995084691",
            "country_code": "US",
            "telephone_number": "907-600-0030",
            "fax_number": "907-206-7153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAGILL",
        "first_name": "CHRISTINA",
        "middle_name": "BRAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2026-10-09",
        "certification_date": "2026-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MO",
            "license": "2006028765",
            "primary": false
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "AK",
            "license": "MEDS7503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wasilla, AK

Sources for this page

Verify at the official NPI Registry.