Individual provider Active NPI

Kristin Elizabeth Wexler, D.O.

  • Obstetrics & Gynecology Physician
  • Lehi, UT
National Provider Identifier
1891050928
Registry record updated Sep 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
9883015-1204 Issued in UT
Practice address
3401 N Center St
Suite 150
Lehi, UT 84043-7497
Phone
(801) 653-2757
NPI assigned
Jul 4, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 9883015-1204 UT Primary

Addresses

Primary practice location

3401 N Center St
Suite 150
Lehi, UT 84043-7497

Mailing address

1329 Avalon Pines Dr
Coram, NY 11727-5158
Phone (609) 802-1279

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20191014000033 DC Practitioner - Obstetrics/Gynecology 9335428457 Reassigns benefits to 2 organizations
I20210104000052 VA Practitioner - Obstetrics/Gynecology 9335428457 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Midwestern University, Chicago College of Osteopathic Med, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maryland Physicians Edge LLCGroup PAC ID 5890913503, 73 clinicians

Practice addresses (Care Compare)

12508 Lake Ridge Dr
Lake Ridge, VA 22192-2354
Phone (703) 370-4300

2616 Sherwood Hall LN
Suite 208
Alexandria, VA 22306-3154
Phone (703) 780-6900

4660 Kenmore Ave
Suite 902
Alexandria, VA 22304-1306
Phone (703) 370-4300

5901 Kingstowne Village Pkwy
Suite 200
Alexandria, VA 22315-5882
Phone (703) 922-3434

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.06 of 100Reported as group
Quality
82.04
Improvement activities
40
Cost
70.83

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Physician and Midwife Collaborative Practice Obstetrics & Gynecology CurrentSince Aug 21, 2019 Accepting new patients
The Physician and Midwife Collaborative Practice Obstetrics & Gynecology Current Accepting new patients

Locations

2616 Sherwood Hall Ln
Ste 208
Alexandria, VA 22306
Phone (703) 780-6900

5901 Kingstowne Village Pkwy
Ste 200
Alexandria, VA 22315
Phone (703) 370-4300

4660 Kenmore Ave
Ste 902
Alexandria, VA 22304
Phone (703) 370-4300

3803 Fairfax Dr
Ste 500
Arlington, VA 22203
Phone (703) 842-0602

12508 Lake Ridge Dr
Woodbridge, VA 22192
Phone (703) 370-4300

Interoperability endpoints

  • Direct secure messaging: kristin.wexler.1@7917.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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": "1341360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474934400000",
    "number": "1891050928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 AVALON PINES DR",
            "city": "CORAM",
            "state": "NY",
            "postal_code": "117275158",
            "telephone_number": "609-802-1279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 N CENTER ST",
            "address_2": "SUITE 150",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840437497",
            "telephone_number": "801-653-2757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEXLER",
        "first_name": "KRISTIN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-04",
        "last_updated": "2016-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "UT",
            "license": "9883015-1204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehi, UT

Sources for this page

Verify at the official NPI Registry.