Individual provider Active NPI

Christina Abeje Wilson, NP

  • Nurse Practitioner
  • Stanford, CA
National Provider Identifier
1861991564
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95020500 Issued in CA
Practice address
300 Pasteur Dr
Stanford, CA 94305-2200
Phone
(650) 723-4000
NPI assigned
Feb 8, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95020500 CA Primary

Addresses

Primary practice location

300 Pasteur Dr
Stanford, CA 94305-2200

Mailing address

300 Pasteur Dr
Stanford, CA 94305-2200
Phone (650) 723-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, CO, AZ3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20220913003415 CA Practitioner - Nurse Practitioner 0446513741 Reassigns benefits to 7 organizations
I20230526000807 CO Practitioner - Nurse Practitioner 0446513741 Reassigns benefits to 1 organization
I20231003002163 AZ Practitioner - Nurse Practitioner 0446513741 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
79.36 of 100Reported as group
Quality
75.71
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
80.3 of 100Reported as group
Quality
75.71
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
79.36 of 100Reported as group
Quality
75.71
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Smi Imaging LLC CurrentSince Nov 1, 2022 Accepting new patients
Stanford Health Care CurrentSince Sep 1, 2023 Accepting new patients
Health Diagnostics of California a Professional Corporation CurrentSince Aug 22, 2022 Accepting new patients
LPCH Medical Group Div of Lucile CurrentSince Sep 1, 2023 Accepting new patients
Stanford Health Care CurrentSince Sep 1, 2023 Accepting new patients
Health Diagnostics of California a Professional Corporation CurrentSince Oct 1, 2022 Accepting new patients
Stanford Health Care Current Accepting new patients

Locations

16220 N Scottsdale Rd
Ste 600
Scottsdale, AZ 85254

155 N San Vicente Blvd
#1182
Beverly Hills, CA 90211
Phone (323) 433-7800

455 Hickey Blvd
Ste 200
Daly City, CA 94015
Phone (650) 757-2030

14651 S Bascom Ave
Ste 120
Los Gatos, CA 95032
Phone (408) 356-0444

665 Munras Ave
Ste 109
Monterey, CA 93940
Phone (831) 656-9800

725 Welch Rd
Palo Alto, CA 94304
Phone (650) 497-8979

225 W Hospitality Ln
Ste 102
San Bernardino, CA 92408
Phone (909) 888-5000

325 Sacramento St
San Francisco, CA 94111
Phone (408) 356-9013

325 Sacramento St
#1112
San Francisco, CA 94111
Phone (408) 356-9013

300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710

11960 Lioness Way
Ste 140
Parker, CO 80134
Phone (303) 643-0200

3061 S Maryland Pkwy
Ste 102
Las Vegas, NV 89109
Phone (702) 369-4570

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1518048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1861991564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PASTEUR DR",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943052200",
            "telephone_number": "650-723-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PASTEUR DR",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943052200",
            "telephone_number": "650-723-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "CHRISTINA",
        "middle_name": "ABEJE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-08",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95020500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanford, CA

Sources for this page

Verify at the official NPI Registry.