LYSTRA B WILSON-CELESTINE MD
NPI 1003034018
Obstetrics & Gynecology in Grass Valley, CA

Q: What is Lystra Wilson-celestine's NPI number?

The NPI number for Lystra Wilson-celestine is 1003034018. It was assigned to this individual provider in the NPPES registry on April 23, 2007.

Q: What is Lystra Wilson-celestine's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Active since April 23, 2007PECOS EnrolledAccepts Medicare Assignment

280 SIERRA COLLEGE DR STE 115, GRASS VALLEY, CA 95945(530) 477-3119(530) 274-2077 Get Directions Write a Review

NPPES record last updated: May 29, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Lystra B Wilson-celestine Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LYSTRA B WILSON-CELESTINE MD (NPI 1003034018) is an individual obstetrics & gynecology provider in Grass Valley, California, licensed in Washington (MD00048034) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1003034018

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameLYSTRA B WILSON-CELESTINECredential: MD

Location Address280 SIERRA COLLEGE DR STE 115Grass Valley, CA 95945

Mailing Address3400 Data Dr, Attn: Credentialing/payer EnrollmentRancho Cordova, CA 95670-7956

Phone(530) 477-3119

Fax(530) 274-2077

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateApril 23, 2007

Last NPPES UpdateMay 29, 2018

✔ NPI 1003034018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in WA · MD00048034

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

280 SIERRA COLLEGE DR STE 115, Grass Valley, CA 95945

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lystra B Wilson-celestine Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3072696574

PECOS Enrollment IDI20170104001139

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Lystra Wilson-celestine reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dignity Health Medical Foundation

36 mi

Radiology

2110 PROFESSIONAL DR, SUITE 190
Roseville, CA 95661

Reassigned Medicare billing, California enrollment
1,191 clinicians in this Medicare group

NPI 1821028200 (916) 787-0404

Genesis Center For Womens Health Inc

36 mi

Obstetrics & Gynecology

151 N SUNRISE AVE STE 1411
Roseville, CA 95661

Reassigned Medicare billing, California enrollment

NPI 1851993224 (279) 888-6900

Obstetrix Medical Group Of Sacramento, P.C.

50 mi

Maternal & Fetal Medicine

5301 F ST, SUITE 207
Orange, CA 95819

Reassigned Medicare billing, California enrollment
Medicare enrollment name: Obstetrix Medical Group Of Sacramento PC
31 clinicians in this Medicare group

NPI 1144593310 (916) 733-7111

Obhg California, P.C.

2,144 mi

Obstetrics & Gynecology

777 LOWNDES HILL RD BLDG 1
Greenville, SC 29607

Reassigned Medicare billing, California enrollment
Medicare enrollment name: Obhg California PC
711 clinicians in this Medicare group

NPI 1215258892 (800) 967-2289

General Conference Corp Of Sda

Clinic/Center

388 YPAO RD
Tamuning, GU 96913

Reassigned Medicare billing, Guam enrollment
105 clinicians in this Medicare group

NPI 1275586877 (671) 646-8881

Guam Memorial Hospital

General Acute Care Hospital

850 GOVERNOR CARLOS CAMACHO ROAD
Oka Tamuning, GU 96913

Reassigned Medicare billing, Guam enrollment
320 clinicians in this Medicare group

NPI 1366519027 (671) 647-2937

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

247 services153 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

54 services51 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

48 services48 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

48 services34 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

37 services37 patients

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95945 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$133.94 typical visit price

range $58.87 – $176.60

Typical copayment $33.48 (range $14.71 – $44.15)

Most-billed visit code 99204

Established Patient

$73.16 typical visit price

range $19.28 – $144.60

Typical copayment $18.29 (range $4.82 – $36.15)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. REBECCA MICHEL KAUK FNP

Nurse Practitioner (Family)