Individual provider Active NPI

Christine E. Wilmsen, MD

  • Internal Medicine Physician
  • Jennings, MO
National Provider Identifier
1205145372
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
110575 Issued in MO
Practice address
11160 Village North Dr
Jennings, MO 63136-6159
Phone
(636) 288-4149
NPI assigned
Oct 6, 2010
Last updated
Feb 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 110575 MO
Internal Medicine Physician 207R00000X 110575 MO Primary

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 1

  • Christine E Wilmsen Craig Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110122000044 MO Practitioner - Internal Medicine 7012196082 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
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 LLCGroup PAC ID 9537605274, 16 clinicians

Practice addresses (Care Compare)

401 Corporate Park Dr
Clayton, MO 63105-4201
Phone (716) 292-6551

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
110575MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Physician Services PC Internal Medicine CurrentSince Jul 1, 2016 Accepting new patients
Med Clinical Practice LLC Internal Medicine CurrentSince Feb 1, 2025 Accepting new patients

Locations

998 Woods Mill Rd
Ballwin, MO 63011
Phone (636) 288-4149

2025 Zumbehl Rd
Saint Charles, MO 63303
Phone (636) 288-4149

11160 Village North Dr
Saint Louis, MO 63136
Phone (314) 355-8010

11278 Schuetz Rd
Saint Louis, MO 63146
Phone (314) 991-4066

401 Corporate Park Dr
Saint Louis, MO 63105
Phone (314) 725-7447

4455 Duncan Ave
Saint Louis, MO 63110
Phone (314) 658-3800

10 Hospital Dr
Saint Peters, MO 63376
Phone (636) 394-2522

10 Hospital Dr
Fl 3
Saint Peters, MO 63376
Phone (314) 576-5545

5400 Executive Centre Pkwy
Saint Peters, MO 63376
Phone (636) 288-4149

Organizations & group practices 2

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 1

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": "1286323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1205145372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 ZUMBEHL RD PMB49",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633032723",
            "telephone_number": "636-288-4149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11160 VILLAGE NORTH DR",
            "city": "JENNINGS",
            "state": "MO",
            "postal_code": "631366159",
            "telephone_number": "636-288-4149"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Saint Peters",
            "state": "MO",
            "postal_code": "633761659",
            "country_code": "US",
            "telephone_number": "314-317-0600",
            "fax_number": "314-317-0606",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 Corporate Park Dr",
            "address_purpose": "LOCATION",
            "city": "Clayton",
            "state": "MO",
            "postal_code": "631054201",
            "country_code": "US",
            "telephone_number": "636-288-4149",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Hospital Dr Fl 3",
            "address_purpose": "LOCATION",
            "city": "Saint Peters",
            "state": "MO",
            "postal_code": "633761659",
            "country_code": "US",
            "telephone_number": "636-288-4149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILMSEN",
        "first_name": "CHRISTINE",
        "middle_name": "E.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-06",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MO",
            "license": "110575",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "110575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "WILMSEN CRAIG",
            "middle_name": "E",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jennings, MO

Sources for this page

Verify at the official NPI Registry.