Individual provider Active NPI

Cristhi Wilson-Brown

  • Adult Health Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1073988374
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
SP015554 Issued in PA
Practice address
521 W Girard Ave
Philadelphia, PA 19123-1428
Phone
(215) 440-9547
NPI assigned
Dec 11, 2015
Last updated
Nov 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X SP015554 PA Primary
Gerontology Nurse Practitioner 363LG0600X SP015554 PA
Primary Care Nurse Practitioner 363LP2300X SP015554 PA

Addresses

Primary practice location

521 W Girard Ave
Philadelphia, PA 19123-1428

Mailing address

6065 Angora Ter
Philadelphia, PA 19143-3101
Phone (267) 304-3610

Other practice location 1

2001 S 18th St
Philadelphia, PA 19145-2905
Phone (484) 378-2424

Other practice location 2

583 Shoemaker Rd
King Of Prussia, PA 19406-4201
Phone (484) 378-2424

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161017001760 PA Practitioner - Nurse Practitioner 5799073292 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Excel Medical CenterGroup PAC ID 7315132537, 20 clinicians

Practice addresses (Care Compare)

521 W Girard Ave
Philadelphia, PA 19123-1428
Phone (215) 440-9547

Merit-based Incentive Payment System (MIPS)

Final score
88.2 of 100Reported as group
Quality
70
Promoting interoperability
93
Improvement activities
20
Cost
88.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP015554PAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Montco Wound and Primary Care Center PC CurrentSince Nov 17, 2025 Accepting new patients
Montgomery County Wound Healing Center LLC CurrentSince Nov 17, 2025 Accepting new patients
Excel Medical Center CurrentSince Sep 27, 2023 Accepting new patients

Locations

583 Shoemaker Rd
Kng of Prussa, PA 19406
Phone (484) 378-2424

208 W Chelten Ave
Philadelphia, PA 19144
Phone (215) 849-3104

521 W Girard Ave
Philadelphia, PA 19123
Phone (215) 440-9547

7515 Stenton Ave
Philadelphia, PA 19150
Phone (215) 842-5246

Interoperability endpoints

  • Direct secure messaging: cristhi.wilson-brown.1@25233.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/25233/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1449792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1073988374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6065 ANGORA TER",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191433101",
            "telephone_number": "267-304-3610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 W GIRARD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191231428",
            "telephone_number": "215-440-9547"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 S 18th St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191452905",
            "country_code": "US",
            "telephone_number": "484-378-2424",
            "fax_number": "484-723-5324",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "583 Shoemaker Rd",
            "address_purpose": "LOCATION",
            "city": "King Of Prussia",
            "state": "PA",
            "postal_code": "194064201",
            "country_code": "US",
            "telephone_number": "484-378-2424",
            "fax_number": "484-723-5324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON-BROWN",
        "first_name": "CRISTHI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-11",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP015554",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "SP015554",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "PA",
            "license": "SP015554",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.