Individual provider Active NPI

Christopher M Wilson, MD

  • Neurology Physician
  • Avon, IN
National Provider Identifier
1467553149
Registry record updated Nov 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
01057419 Issued in IN
Practice address
8607 E US Highway 36 Ste 100
Avon, IN 46123-7960
Phone
(317) 208-3855
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 01057419 IN Primary

Addresses

Primary practice location

8607 E US Highway 36 Ste 100
Avon, IN 46123-7960

Mailing address

8607 E US Highway 36 Ste 100
Avon, IN 46123-7960
Phone (317) 208-3855

Other practice location 1

1100 Southfield Dr
Suite 1210
Plainfield, IN 46168-4499
Phone (317) 839-9833

Other practice location 2

1100 Southfield Dr
Suite 1210
Plainfield, IN 46168-4499
Phone (317) 839-9833

Other identifiers 1

IdentifierTypeStateIssuer
200484480MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address christopher.wilsonmd.p2@direct.ahni.nextgenshare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20040916000371 IN Practitioner - Neurology 1254308448 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Indiana University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
American Health Network of Indiana LLCGroup PAC ID 9830093533, 204 clinicians

Practice addresses (Care Compare)

10995 Allisonville Rd
Suite 100
Fishers, IN 46038-2616
Phone (317) 842-7928

8607 E US Hwy 36
Avon, IN 46123-7960

Hospital & facility affiliations

  • Hendricks Regional Health Hospital, Danville, IN, CCN 150005
  • Indiana University Health Hospital, Indianapolis, IN, CCN 150056
  • Putnam County Hospital Hospital, Greencastle, IN, CCN 151333
  • Franciscan Health Mooresville Hospital, Mooresville, IN, CCN 150057

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01057419INMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Health Network of Indiana, LLC Neurology CurrentSince Apr 1, 2005 Accepting new patients
American Health Network of Indiana LLC CurrentSince Apr 1, 2005 Accepting new patients
Major Hospital Past Accepting new patients
American Health Network of Indiana, LLC Neurology Past Accepting new patients

Locations

5250 E US Highway 36
Ste 610
Avon, IN 46123
Phone (317) 745-5403

8607 E US Highway 36
Ste 100
Avon, IN 46123
Phone (317) 208-3855

10995 Allisonville Rd
Ste 100
Fishers, IN 46038
Phone (317) 842-7928

1300 W Jefferson St
Ste C
Franklin, IN 46131
Phone (317) 736-8474

20 Circle Dr
Franklin, IN 46131
Phone (317) 773-0008

7440 Woodland Dr
Indianapolis, IN 46278
Phone (317) 450-3357

550 University Blvd
Indianapolis, IN 46202
Phone (217) 274-5000

4850 Century Plaza Rd
Ste 180
Indianapolis, IN 46254

2001 W 86th St
Indianapolis, IN 46260
Phone (317) 338-3617

7151 Marsh Rd
Ste 150
Indianapolis, IN 46278
Phone (317) 216-2021

2330 S Dixon Rd
Kokomo, IN 46902
Phone (765) 455-5400

3750 Landmark Dr
Ste A
Lafayette, IN 47905
Phone (765) 448-4511

3743 Landmark Dr
Ste 200
Lafayette, IN 47905
Phone (765) 448-4511

2323 Ferry St
Ste 101
Lafayette, IN 47904
Phone (765) 448-4511

504 W Camp St
Lebanon, IN 46052
Phone (765) 482-7005

3631 N Morrison Rd
Muncie, IN 47304
Phone (765) 281-3443

3631 N Morrison Rd
#106
Muncie, IN 47304
Phone (765) 281-3443

4101 Technology Ave
New Albany, IN 47150
Phone (812) 941-4500

15397 Stony Creek Way
Ste 101
Noblesville, IN 46060

1100 Southfield Dr
Ste 1210
Plainfield, IN 46168
Phone (317) 839-7741

3309 S 750 W
Russiaville, IN 46979
Phone (765) 461-7174

503 Greenwood Trace Dr
Whiteland, IN 46184
Phone (317) 208-3866

Interoperability endpoints

  • Direct secure messaging: cwilson210945@direct.optum.com
  • Direct secure messaging: christopher.wilsonmd.p2@direct.ahni.nextgenshare.com

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1467553149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8607 E US HIGHWAY 36 STE 100",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461237960",
            "telephone_number": "317-208-3855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8607 E US HIGHWAY 36 STE 100",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461237960",
            "telephone_number": "317-208-3855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Southfield Dr",
            "address_2": "Suite 1210",
            "address_purpose": "LOCATION",
            "city": "Plainfield",
            "state": "IN",
            "postal_code": "461684499",
            "country_code": "US",
            "telephone_number": "317-839-9833",
            "fax_number": "317-839-7549",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 Southfield Dr",
            "address_2": "Suite 1210",
            "address_purpose": "LOCATION",
            "city": "Plainfield",
            "state": "IN",
            "postal_code": "461684499",
            "country_code": "US",
            "telephone_number": "317-839-9833",
            "fax_number": "317-839-7549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "CHRISTOPHER",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IN",
            "license": "01057419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200484480",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "christopher.wilsonmd.p2@direct.ahni.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "8607 E US Highway 36 Ste 100",
            "city": "Avon",
            "state": "IN",
            "country_code": "US",
            "postal_code": "46123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Avon, IN

Sources for this page

Verify at the official NPI Registry.