Cynthia Anne Wilson, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OP60558786 Issued in WA

Practice address

201 Tahoma Blvd
Suite 102
Yelm, WA 98597-7735

Phone

(360) 458-7761

NPI assigned

Aug 1, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Family Practice

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Scripps HealthGroup PAC ID 9234033853, 1,450 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Advantage Health Systems Home health agency, San Diego, CA, CCN 058355
• Scripps Memorial Hospital - Encinitas Hospital, Encinitas, CA, CCN 050503
• Scripps Memorial Hospital la Jolla Hospital, La Jolla, CA, CCN 050324

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cynthia.wilson@yfm.directbygreenway.com

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.

• Scripps Health

  • Multi-Specialty Clinic/Center
  • La Jolla, CA
  • NPI 1275899072

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Scripps Health

  • Home Health Agency
  • San Diego, CA
  • NPI 1578556114
  NPD
• Scripps Health

  • General Acute Care Hospital
  • La Jolla, CA
  • NPI 1841277704
  NPD
• Scripps Health

  • Family Medicine Physician
  • San Diego, CA
  • NPI 1881636108
  NPD
• Providence Health & Services Washington

  • General Acute Care Hospital
  • Olympia, WA
  • NPI 1346250594
  NPD (past)
• Scripps Health

  • Clinical Medical Laboratory
  • La Jolla, CA
  • NPI 1427034990
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Advantage Health Systems

  • Home Health Agency
  • San Diego, CA
  • NPI 1538225313
  Care Compare affiliation
• Scripps Health

  • General Acute Care Hospital
  • Encinitas, CA
  • NPI 1700829199
  Care Compare affiliation
• Scripps Health

  • General Acute Care Hospital
  • La Jolla, CA
  • NPI 1841277704
  Care Compare affiliation

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

{
    "created_epoch": "1249084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637798400000",
    "number": "1467683920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 TAHOMA BLVD",
            "address_2": "SUITE 102",
            "city": "YELM",
            "state": "WA",
            "postal_code": "985977735",
            "telephone_number": "360-458-7761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 TAHOMA BLVD",
            "address_2": "SUITE 102",
            "city": "YELM",
            "state": "WA",
            "postal_code": "985977735",
            "telephone_number": "360-458-7761"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2176 Salk Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Carlsbad",
            "state": "CA",
            "postal_code": "920087346",
            "country_code": "US",
            "telephone_number": "760-827-7210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "CYNTHIA",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-01",
        "last_updated": "2021-11-25",
        "certification_date": "2021-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "OP60558786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Weaber
• Wendy D. Johnson Arnp LLC
• Wentworth MFT PLLC
• Jennifer Elaine Wentworth, MA LMFT
• Karen Whitaker
• Rebekah J. Wilson, R.N.
• Denise S Wood
• Mackenzie Elizabeth Wood, DMD
• Amber Woods, D.C.
• Stefanie Wright

• Family Medicine Physician in Yelm, WA
• Providers in Yelm, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.