Individual provider Active NPI

Christian Chase Wilson, MD, MBA

  • Internal Medicine Physician
  • Kingman, AZ
National Provider Identifier
1821331893
Registry record updated Oct 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
281520 Issued in NY
Practice address
3269 N Stockton Hill Rd
Kingman, AZ 86409-3619
Phone
(928) 757-2101
NPI assigned
Mar 28, 2013
Last updated
Oct 7, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME169966 FL
Internal Medicine Physician 207R00000X MD466272 PA
Internal Medicine Physician 207R00000X 281520 NY Primary
Hospitalist Physician 208M00000X 281520 NY

Addresses

Primary practice location

3269 N Stockton Hill Rd
Kingman, AZ 86409-3619

Mailing address

630 W 168TH St # 4
New York, NY 10032-3725
Phone (212) 305-5183

Other practice location 1

177 Fort Washington Ave
New York, NY 10032-3733
Phone (212) 305-5183

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA, MA, FL, AZ, GA, MO7 enrollments
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 7

Enrollment IDStateProvider typePAC IDDetails
I20160819001001 NY Practitioner - Internal Medicine 1456646165 Reassigns benefits to 3 organizations
I20190502001590 PA Practitioner - HospitalistPractitioner - Internal Medicine 1456646165 Reassigns benefits to 1 organization
I20220901001672 MA Practitioner - Internal Medicine 1456646165 Reassigns benefits to 1 organization
I20241006000144 FL Practitioner - Internal Medicine 1456646165 Reassigns benefits to 1 organization
I20241113003839 AZ Practitioner - Internal Medicine 1456646165 Reassigns benefits to 1 organization
I20250307000320 GA Practitioner - Internal Medicine 1456646165 Reassigns benefits to 1 organization
I20250814000669 MO Practitioner - Internal Medicine 1456646165 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Columbia University College of Physicians and Surgeons, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Project Belle LLCGroup PAC ID 8022356401, 8 clinicians
Apogee Medical Group IncGroup PAC ID 2961314265, 85 clinicians

Practice addresses (Care Compare)

11720 Amber Park Dr
Suite 160
Alpharetta, GA 30009-2271
Phone (855) 232-7888

231 S Bemiston Ave
Suite 800
Saint Louis, MO 63105-1925
Phone (214) 814-0994

3269 N Stockton Hill Rd
Kingman, AZ 86409-3619
Phone (928) 681-8577

3301 N University Dr
Suite 100
Coral Springs, FL 33065-4149
Phone (855) 232-7888

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
281520NYMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Olean General Hospital Family Medicine CurrentSince Jan 4, 2023 Accepting new patients
Apogee Medical Group Inc Internal Medicine CurrentSince Oct 31, 2024 Accepting new patients
Project Belle LLC Family Medicine CurrentSince Sep 1, 2024 Accepting new patients
Berkshire Medical Center, Inc CurrentSince Jul 18, 2022 Accepting new patients
Trustees of Columbia University in the City of New York Internal Medicine Current Accepting new patients
Apogee Medical Group of Pennsylvania PC Internal Medicine CurrentSince Apr 5, 2019 Accepting new patients
Apogee Medical Group of Pennsylvania PC Internal Medicine CurrentSince Apr 5, 2019 Accepting new patients
Olean General Hospital CurrentSince Jan 4, 2023 Accepting new patients
Trustees of Columbia University in the City of New York Internal Medicine CurrentSince Jan 26, 2021 Accepting new patients
Preventative Healthcare Medical Services of New York, PC Internal Medicine Current Accepting new patients
Apogee Medical Group Inc Internal Medicine CurrentSince Oct 31, 2024 Accepting new patients
Apogee Medical Group, New York, PC Internal Medicine CurrentSince May 28, 2016 Accepting new patients
Berkshire Medical Center Inc. CurrentSince Jul 18, 2022 Accepting new patients
The New York and Presbyterian Hospital Past Accepting new patients
Olean General Hospital Past Accepting new patients
Kingman Healthcare, Inc Family Medicine Past Accepting new patients

Locations

3269 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 757-0626

101 Civic Center Ln
Lk Havasu Cty, AZ 86403
Phone (928) 453-0150

807 S Ponderosa St
Payson, AZ 85541
Phone (520) 474-3222

15059 N Scottsdale Rd
Ste 600
Scottsdale, AZ 85254
Phone (602) 778-3601

3301 N University Dr
Ste 100
Coral Springs, FL 33065
Phone (754) 757-9977

11720 Amber Park Dr
Ste 160
Alpharetta, GA 30009
Phone (404) 617-5301

725 North St
Pittsfield, MA 01201
Phone (413) 447-2839

231 S Bemiston Ave
Ste 800
Saint Louis, MO 63105
Phone (214) 814-0994

49 Lafayette Rd
Unit C
Hampton Falls, NH 03844

462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612

161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559

177 Fort Washington Ave
New York, NY 10032
Phone (212) 305-3090

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

630 W 168th St
#4
New York, NY 10032
Phone (212) 305-6387

515 Main St
Olean, NY 14760
Phone (716) 373-2600

515 Main St
#13282
Olean, NY 14760
Phone (716) 375-6993

830 Washington St
Watertown, NY 13601
Phone (315) 785-4000

100 Hospital Rd
Brookville, PA 15825
Phone (814) 849-1408

809 Turnpike Ave
Clearfield, PA 16830
Phone (814) 765-5341

100 Hospital Ave
Dubois, PA 15801
Phone (814) 375-2040

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

209 10th Ave S
Ste 325
Nashville, TN 37203

Interoperability endpoints

  • Direct secure messaging: ccw7001@direct.nyp.org
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 1

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": "1364428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791331200000",
    "number": "1821331893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 W 168TH ST # 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323725",
            "telephone_number": "212-305-5183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3269 N STOCKTON HILL RD",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864093619",
            "telephone_number": "928-757-2101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "177 Fort Washington Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100323733",
            "country_code": "US",
            "telephone_number": "212-305-5183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "CHRISTIAN",
        "middle_name": "CHASE",
        "name_prefix": "Dr.",
        "credential": "MD, MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-28",
        "last_updated": "2026-10-07",
        "certification_date": "2026-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME169966",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD466272",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "281520",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "281520",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingman, AZ

Sources for this page

Verify at the official NPI Registry.