NPIMap

Individual provider Active NPI

Christine Wilson, DO

  • Nephrology Physician
  • Tulsa, OK
National Provider Identifier
1568550663
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
3780 Issued in OK
Practice address
6465 S Yale Ave Ste 401
Tulsa, OK 74136-7806
Phone
(918) 582-3154
NPI assigned
Oct 11, 2006
Last updated
Feb 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 3780 OK Primary

Addresses

Primary practice location

6465 S Yale Ave Ste 401
Tulsa, OK 74136-7806

Mailing address

6465 S Yale Ave Ste 401
Tulsa, OK 74136-7806
Phone (918) 582-3154

Other practice location 1

Dept 2761
Tulsa, OK 74182-0001
Phone (918) 582-3154

Other identifiers 2

IdentifierTypeStateIssuer
200034350AMedicaidOK
28269OtherOKBNDD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040707000429 OK Practitioner - NephrologyPractitioner - Internal Medicine 4981681996 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Oklahoma State University College of Osteopathic Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Osteopathic Physicians of Tulsa, Inc.Group PAC ID 1850383662, 8 clinicians

Practice addresses (Care Compare)

6465 S Yale Ave
Suite 401
Tulsa, OK 74136-7806
Phone 9185823154383

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
20.38 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
67.94

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Osteopathic Physicians of Tulsa, Inc. Nephrology CurrentSince Jul 1, 2004 Accepting new patients
Nephrology Associates, Inc. Nephrology CurrentSince Nov 1, 2025 Accepting new patients
Osteopathic Physicians of Tulsa, Inc Nephrology Past Accepting new patients

Locations

3500 State St
Bartlesville, OK 74006
Phone (918) 224-9620

2000 S Wheeling Ave
Ste 510
Tulsa, OK 74104
Phone (918) 747-5200

6465 S Yale Ave
Ste 401
Tulsa, OK 74136
Phone (918) 561-6141

802 S Jackson Ave
Ste 301
Tulsa, OK 74127
Phone (918) 582-3154

Dept 2761
Tulsa, OK 74182
Phone (918) 582-3154

Dept 515
Tulsa, OK 74182

Interoperability endpoints

  • Direct secure messaging: christine.wilson@direct.davitaphysiciansolutions.com
  • Direct secure messaging: christinewilson@nst.allscriptsdirect.net
  • Direct secure messaging: cwilson137884@ahs.direct-ci.com

Organizations & group practices 3

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 10

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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1568550663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6465 S YALE AVE STE 401",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741367806",
            "telephone_number": "918-582-3154",
            "fax_number": "918-582-3593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6465 S YALE AVE STE 401",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741367806",
            "telephone_number": "918-582-3154"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Dept 2761",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741820001",
            "country_code": "US",
            "telephone_number": "918-582-3154",
            "fax_number": "918-582-3593",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "CHRISTINE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OK",
            "license": "3780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200034350A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BNDD",
            "identifier": "28269",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.