Individual provider Active NPI

Christine Anne Wilson, CRNP

  • Gerontology Nurse Practitioner
  • King of Prussia, PA
National Provider Identifier
1245511450
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
SP027960 Issued in PA
Practice address
1018 W 9TH Ave Ste 110
King of Prussia, PA 19406-1225
Phone
(215) 346-6050
NPI assigned
Sep 1, 2011
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X SP027960 PA Primary

Addresses

Primary practice location

1018 W 9TH Ave Ste 110
King of Prussia, PA 19406-1225

Mailing address

PO Box 40412
Belfast, ME 04915-1255
Phone (215) 346-6050

Other practice location 1

100 Abbeyville Rd
Lancaster, PA 17603-4604
Phone (301) 722-0484

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
I20230816004357 PA Practitioner - Nurse Practitioner 7012379407 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as group
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP027960PAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Good Shepherd Rehabilitation Hospital CurrentSince Jun 2, 2025 Accepting new patients
Good Shepherd Rehabilitation Hospital CurrentSince Jun 2, 2025 Accepting new patients
Curana Health of Pennsylvania PC CurrentSince Sep 25, 2024 Accepting new patients
Novus Pain Management,PC CurrentSince Feb 1, 2026 Accepting new patients

Locations

157 Baltimore St
Ste 104
Cumberland, MD 21502

526 N Saint Cloud St
#1601
Allentown, PA 18104

850 S 5th St
Allentown, PA 18103
Phone (610) 776-3278

1 Kirkland Vlg
Bethlehem, PA 18017
Phone (610) 691-4500

3200 Center Valley Pkwy
Center Valley, PA 18034
Phone (610) 242-0345

2781 Luther Dr
Chambersburg, PA 17202
Phone (717) 261-1251

510 Brookmont Dr
Effort, PA 18330
Phone (610) 681-4070

3430 Huntingdon Pike
Huntingdon Vy, PA 19006
Phone (215) 938-7171

100 Abbeyville Rd
Lancaster, PA 17603
Phone (717) 397-4261

Interoperability endpoints

  • Direct secure messaging: christine.wilson.1@11391.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/11391/brand/2/csg/21/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/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.

NPI Registry JSON

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

{
    "created_epoch": "1314835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1245511450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40412",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049151255",
            "telephone_number": "215-346-6050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1018 W 9TH AVE STE 110",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194061225",
            "telephone_number": "215-346-6050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Abbeyville Rd",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176034604",
            "country_code": "US",
            "telephone_number": "301-722-0484",
            "fax_number": "833-903-0130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "CHRISTINE",
        "middle_name": "ANNE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-01",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "SP027960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in King of Prussia, PA

Sources for this page

Verify at the official NPI Registry.