Christine E. Wilmsen, MD
Individual provider Active NPI Internal Medicine Physician · Jennings, MO
NPI 1205145372 · NPPES record last updated Feb 6, 2025
Key facts
- NPI
- 1205145372
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 110575 (MO)
- Practice address
- 11160 Village North Dr
Jennings, MO 63136-6159 - Phone
- (636) 288-4149
- NPI assigned
- Oct 6, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- University of Missouri, Columbia School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Med Clinical Practice LLC
Practice addresses (Care Compare)
401 Corporate Park Dr
Clayton, MO 63105-4201
Phone (716) 292-6551
Hospital & facility affiliations
- Barnes-Jewish Extended Care
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110122000044 | MO | Practitioner - Internal Medicine | 7012196082 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110575 | MO | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Med Clinical Practice LLC | Internal Medicine | Current |
Accepting new patients |
| Southeastern Physician Services PC | Internal Medicine | Current |
Accepting new patients |
Locations
998 Woods Mill Rd
Ballwin, MO 63011
Phone (314) 658-3800
2025 Zumbehl Rd
Saint Charles, MO 63303
Phone (636) 288-4149
4455 Duncan Ave
Saint Louis, MO 63110
Phone (314) 658-3800
11160 Village North Dr
Saint Louis, MO 63136
Phone (314) 355-8010
401 Corporate Park Dr
Saint Louis, MO 63105
Phone (314) 725-7447
11278 Schuetz Rd
Saint Louis, MO 63146
Phone (314) 991-4066
10 Hospital Dr
Fl 3
Saint Peters, MO 63376
Phone (314) 576-5545
10 Hospital Dr
Saint Peters, MO 63376
Phone (636) 394-2522
5400 Executive Centre Pkwy
Saint Peters, MO 63376
Phone (636) 288-4149
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 110575 | MO | |
| Internal Medicine Physician | 207R00000X | 110575 | MO | Yes |
Addresses
Primary practice location
11160 Village North Dr
Jennings, MO 63136-6159
Mailing address
2025 Zumbehl Rd Pmb49
Saint Charles, MO 63303-2723
Phone (636) 288-4149
Other practice location 1
10 Hospital Dr
Saint Peters, MO 63376-1659
Phone (314) 317-0600
Other practice location 2
401 Corporate Park Dr
Clayton, MO 63105-4201
Phone (636) 288-4149
Other practice location 3
10 Hospital Dr Fl 3
Saint Peters, MO 63376-1659
Phone (636) 288-4149
Other names
- Christine E Wilmsen Craig
Other providers in Jennings, MO
- Trinity Counseling Unified LLC
- Valerie Wade
- Walgreen Co
- Christian Watts
- Erin Kendal Williams
- Brittanie Witherspoon
All providers in Jennings, MO · Internal Medicine Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 6, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.