Active NPI
Creighton Gerald Wilson Jr., N.P.-C
- Nurse Practitioner
- College Station, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 737316
- Practice address
- 1721 Birmingham Rd Ste 202
College Station, TX 77845-4081 - Phone
- (979) 446-0373
- NPI assigned
- Jun 21, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 737316 | TX | Primary |
Addresses
Primary practice location
1721 Birmingham Rd Ste 202
College Station, TX 77845-4081
Mailing address
1721 Birmingham Rd Ste 202
College Station, TX 77845-4081
Phone (979) 446-0373
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
6400 Fannin St
Suite 2550
Houston, TX 77030-1538
Phone (713) 486-1625
Hospital & facility affiliations
- CHI St Joseph Health Regional Hospital
- Baylor Scott & White Medical Center- College Stati
- Memorial Hermann Hospital System
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.11 of 100
- Quality
- 69.15
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.63
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 737316 | TX | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brazos Weight and Wellness Medicine PLLC | Current | Accepting new patients | |
| Ut Physicians | Current | Accepting new patients | |
| Ut Physicians | Nurse Practitioner | Current | Accepting new patients |
Locations
2421 Earl Rudder Fwy S
College Station, TX 77845
Phone (979) 271-3970
1721 Birmingham Rd
Ste 208
College Station, TX 77845
6400 Fannin St
Ste 2550
Houston, TX 77030
Phone (713) 486-1625
6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714
6410 Fannin St
Ste LL135
Houston, TX 77030
Phone (832) 325-6543
8810 Highway 6
Ste 100
Sienna Plantation, TX 77459
Phone (713) 486-1200
Interoperability endpoints
- creighton.wilson@252847079948292.direct.elationemr.com
- cwilson63334@direct.sw.org
- cwils244@yourcarecommunity.org
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- College Station, TX
- NPI 1649032558
-
- Health Educator
- Houston, TX
- NPI 1316534472
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Houston, TX
- NPI 1730132234
-
- General Acute Care Hospital
- College Station, TX
- NPI 1265772362
-
- General Acute Care Hospital
- Bryan, TX
- NPI 1942294939
-
- General Acute Care Hospital
- College Station, TX
- NPI 1053963009
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617667200000",
"number": "1871889618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1721 BIRMINGHAM RD STE 202",
"city": "COLLEGE STATION",
"state": "TX",
"postal_code": "778454081",
"telephone_number": "979-446-0373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1721 BIRMINGHAM RD STE 202",
"city": "COLLEGE STATION",
"state": "TX",
"postal_code": "778454081",
"telephone_number": "979-446-0373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "CREIGHTON",
"middle_name": "GERALD",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "N.P.-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-21",
"last_updated": "2021-04-06",
"certification_date": "2021-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "737316",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in College Station, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.