Individual provider Active NPI

Christopher Allen Wilson, D.O.

  • Family Medicine Physician
  • Pueblo, CO
National Provider Identifier
1295797413
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
31499 Issued in CO
Practice address
1600 N. Grand Ave.
Ste 260
Pueblo, CO 81003-2729
Phone
(719) 562-2010
Fax
(719) 562-2097
NPI assigned
Apr 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DR.0031499 CO
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X DR.0031499 CO
Family Medicine Physician 207Q00000X 31499 CO Primary

Addresses

Primary practice location

1600 N. Grand Ave.
Ste 260
Pueblo, CO 81003-2729

Mailing address

PO Box 560825
Denver, CO 80256-0825
Phone (719) 595-7580

Other practice location 1

729 E Spaulding Ave
Pueblo, CO 81007-3512
Phone (719) 547-9119

Other identifiers 1

IdentifierTypeStateIssuer
01314996MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20040511001526 CO Practitioner - Family Practice 1355330507 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Catholic Health Initiatives ColoradoGroup PAC ID 8022927342, 1,230 clinicians

Practice addresses (Care Compare)

729 E Spaulding Ave
PRPW PC Pueblo West
Pueblo West, CO 81007-3512
Phone (719) 547-9119

Hospital & facility affiliations

  • St Mary-Corwin Hospital Hospital, Pueblo, CO, CCN 060012

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31499COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Health Initiatives Colorado CurrentSince Apr 9, 2025 Accepting new patients
Catholic Health Initiatives Colorado Current Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Apr 9, 2025 Accepting new patients
Catholic Health Initiatives Colorado Past Accepting new patients
Trinidad Area Health Association Family Medicine Past Accepting new patients
Total Life Care, LLC Family Medicine Past Accepting new patients

Locations

9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193

188 Inverness Dr W
Ste 500
Englewood, CO 80112
Phone (303) 804-8185

480 E Agate Ave
Granby, CO 80446
Phone (970) 887-2179

729 E Spaulding Ave
Pueblo West, CO 81007
Phone (719) 285-2735

23500 US Highway 160
Walsenburg, CO 81089
Phone (719) 738-5100

41 State Highway 67
Woodland Park, CO 80863
Phone (719) 686-0551

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1295797413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 560825",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802560825",
            "telephone_number": "719-595-7580",
            "fax_number": "719-545-0176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 N. GRAND AVE.",
            "address_2": "STE 260",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810032729",
            "telephone_number": "719-562-2010",
            "fax_number": "719-562-2097"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "729 E Spaulding Ave",
            "address_purpose": "LOCATION",
            "city": "Pueblo",
            "state": "CO",
            "postal_code": "810073512",
            "country_code": "US",
            "telephone_number": "719-547-9119",
            "fax_number": "719-547-7555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "CHRISTOPHER",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0031499",
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "CO",
            "license": "DR.0031499",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "31499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01314996",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

Verify at the official NPI Registry.