Individual provider Active NPI

Christina Wilson

  • Nurse Practitioner
  • Alma, MI
National Provider Identifier
1295130847
Registry record updated Mar 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704222535 Issued in MI
Practice address
200 E Warwick Dr
Alma, MI 48801-1012
Phone
(989) 463-5876
Fax
(989) 466-5956
NPI assigned
Oct 24, 2014
Last updated
Mar 8, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704222535 MI Primary

Addresses

Primary practice location

200 E Warwick Dr
Alma, MI 48801-1012

Mailing address

200 E Warwick Dr
Alma, MI 48801-1012
Phone (989) 463-5876

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20141217002311 MI Practitioner - Nurse Practitioner 2961725288 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healogics Specialty Physicians of Michigan PLLCGroup PAC ID 1951680842, 4 clinicians

Practice addresses (Care Compare)

320 E Warwick Dr
Alma, MI 48801-1014
Phone (989) 466-7020

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Great Lakes Medical Associates, PC Nurse Practitioner CurrentSince Oct 15, 2014 Accepting new patients
Healogics Specialty Physicians of Michigan, PLLC CurrentSince May 1, 2022 Accepting new patients

Locations

320 E Warwick Dr
Alma, MI 48801
Phone (989) 463-4971

703 N McEwan St
#7
Clare, MI 48617

703 N McEwan St
Fl 4
Clare, MI 48617
Phone (989) 802-8779

370 E Chicago St
Ste 700
Coldwater, MI 49036
Phone (517) 279-5099

1021 E Main St
Edmore, MI 48829
Phone (989) 427-5320

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 6

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": "1414108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457395200000",
    "number": "1295130847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E WARWICK DR",
            "city": "ALMA",
            "state": "MI",
            "postal_code": "488011012",
            "telephone_number": "989-463-5876",
            "fax_number": "989-466-5956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E WARWICK DR",
            "city": "ALMA",
            "state": "MI",
            "postal_code": "488011012",
            "telephone_number": "989-463-5876",
            "fax_number": "989-466-5956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "CHRISTINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-24",
        "last_updated": "2016-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704222535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alma, MI

Sources for this page

Verify at the official NPI Registry.